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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM. OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 EM, - 8:00 A,M, <br /> <br /> DATE: 06/22/89 TINE: 12:54:80p <br /> <br />OWNER: BOP, AN, TON <br /> <br />SfTUS ADDRESS: <br /> <br /> 910 HAZEL <br /> AUNSV ! LLE <br /> <br />OR 9?325 <br /> <br />MAILING ADDRESS: <br /> <br /> PO BOX 185 <br /> SUBLINITY OR 9'7385 <br /> PHONE'. 769-7364 <br /> <br /> BLOCK: SECTION: <br />10 5 <br /> <br />TOWNSHIP; <br /> <br />DEPTH: 116 AREA: 8120.00UNITS; <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DATE: <br /> <br />AU~VILLE <br /> <br />SUBDIVr$1oN: <br /> <br />8S <br /> <br />SF <br /> <br />90061-461 <br /> NO <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: <br /> <br />OCCUPANTLOAD: <br /> <br />GI LDON II <br /> <br />SITE NU~ER: 7678 <br />VALUATION: <br /> <br />RESIDENTIAl* <br /> <br />NO. OF REDROOMS: <br /> <br />RANGE: ZONE: MAP: b' ~ <br /> 2W RI 51 <br /> <br />IRnEG. LOT: NO CORN~HNO <br /> <br />IYPE: PLUMBING <br /> <br />PER'lIT UK AF~LI~III~I~J NU: <br /> <br />CONTRACTOR, NO. 28638 <br />T.G.NICHOL PLUNBING, INC <br />P.O.BOX 166 <br />AU~VILLE, OR 97325 <br />PHONE: '749-2071 <br /> <br /> ITEN <br />RE~IDENTIAL FIXTURE, NE~ <br />PLUNBING BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />PLUNBING STATE SURCHARGE <br /> <br />QUANTITY <br /> 8 <br /> <br />PAYEE: TO~ DORAN <br />RECEIVED BY~ P8 <br /> <br />~T~IS IS INOT A PER,lIT. <br />FOLLO~INGMUST BE COf4PLET~.; <br />ALL NECESSARY INFORMATION <br /> <br />~OTAL~:~E::~,SED,,FEBS <br /> REVI, OUS,'RECEIPTS <br />THIS RECEIPT <br /> <br />3ALANCE BtJE <br /> <br /> INVOICE <br /> <br />PLAN REVIEW: BY <br />REMARKS: 8 FIX <br /> <br />BY <br /> <br /> ANOUNT <br /> $54.00 <br /> $20,00 <br /> ~3.84 <br /> 3.`70 <br /> <br /> $81.54 <br /> $0.00 <br /> $81,54 <br /> <br /> $0.00 <br /> <br /> 18028 0 <br /> <br /> ~I.-IE~E THE <br />TO A.~E THAT <br /> <br />DATE <br /> <br />~OR~ ~ ~C 10.~ REVi 1~ OFFICE COPY <br /> <br /> <br />