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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 P.M, - 8:00 A,M, <br /> <br />I am performing work on e property I own or occupy, <br />I am a registered builder OR the authorized representative <br />of a registered builder, <br />The work will be performed by a registered builder, <br />Other <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> DATE: <br /> <br />ow TE, 06/26/89 <br /> BORAN, TOM <br /> <br />TIME: 2:41:22p <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYPE: <br /> <br />90061-461 <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: <br /> <br />RESIDENTIAL. <br /> <br /> 910 HAZEL <br />AUMSVILLE OR 97325 <br /> <br />MAILING ADDRESS: <br /> <br />~ BOX 185 <br />,~UBLIMITY OR 97385 <br />PHONE: ?69-7364 <br /> <br />LOT; BLOOKr SECTION: TQWNSHIP: <br /> <br /> CONTRACT CITY: UG8: <br />AUIV~VI LLE NO <br /> <br />SUBDIVISION~ <br /> <br />GILDOW II <br /> <br />SITE NUIV~ER: 7678 <br />VALUAT I ON: <br />RANGE; ZONE: MAP: <br /> <br />WIDTH: <br /> <br />10 DEPTH: 5 AREA; 25 UNITS: <br /> ?0 116 8120.00 <br /> <br />8S <br /> <br />SF <br /> <br />IRREG. LGT: 2W CORNER: R I 51 <br /> <br /> NO NO <br /> <br />TYPE: MECHANICAL PERNIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />TOM OORAN <br />PO BOX 185 <br />SUBLIMITY 97385 <br />PHONE: 769-7364 <br /> <br />55493 <br /> <br /> ITEM <br />EOMESTIC RANGE HOOD <br />~ EXHST FANS & DRYER VENTS <br />MECHANICAL 8ASR FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />16959 <br /> <br />OUANTITY AMOUNT <br />1 $4.50 <br />9 $9.00 <br /> $10.00 <br /> 3.84 <br /> 1.18 <br /> <br />PAYEE: <br />RECEIVED <br /> <br />THIS IS A VALID PER~IT ~ <br /> <br />TOTAL ~.~ESSED FEES $28.52 <br />PREVIOUS RECEIPTS $28.52 <br />THIS RECEIPT $0+00 <br /> <br />BALANCE DUE $0.00 <br /> <br />INVOICE NO: <br />..; CHECK <br /> <br />C~NSTI~CTION CF.A~E~ FOR <br />REqUIRE~IENTS OF STATE <br />· E~.-IALL B~ NULL AND VOIE <br /> <br />: ~tJ~T~ION FAIL~ TO NEET ALL <br /> ZONIN~ ORDINANCES, THIS PF_~IT <br /> <br />RFCtARKS: HD FN : <br /> <br />BONALD E_ NOODLEY, MARION cOUNTY 8U'ILDING: OFFICIAL / BY <br /> <br />~O~M ~ MC 15.S~ REV i1/B. OFFICE COPY <br /> <br /> <br />