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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 228 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 RM. - 8:00 A.M. <br /> <br />DATE: 06/22/89 TINE: 12:54:10p <br /> <br />OWNER: DORAN, TOM <br /> <br />StGNATURE Off APPLICANT: <br /> <br /> OATE: <br /> <br />TAX LOT: 90061--461 <br /> <br />CATEGORY: RESIDENTIAL, <br /> <br /> 910 .HAZEL <br />AUNSVI LLE <br /> <br />PO BOX 185 <br />SUBLIMITY OR 9?385 <br />PHONE** 769-7364 <br /> <br />OR 97325 <br /> <br /> CONSTRUCTION TYPE: <br /> <br /> OONTRAOT CITY: U~B: <br />AUNSVI LLE NO <br /> <br />SUSD,V,S~ON: GI LBOH II <br /> <br /> SITE NUNBER: <br /> VALUAT ION: <br /> <br />OCCUPANCY: <br /> <br />OCCUPANTLOAD: <br /> <br /> NO OFBEDROOMS <br /> <br />7678 <br /> <br />LOT: <br /> <br /> BLOCK: SEOTION: TOWNSHIP: RANGE: <br />10 5 2~ 8S <br /> <br />DEPTH: I 1 6 AR~A: <br /> <br />8120.00UNITS: SF mn~e <br /> <br /> ZONE: MAP: <br />2W RI 51 <br /> <br />NO COHNEH:NO <br /> <br />CONTRACTOR, NO. 312 <br />ENERY & SONSCONST. <br />PO BOX 398 <br />STAYTON, ORE 9?383 <br />PHONE: 769-7751 <br /> <br /> ITEN <br />NATER LI'NES, 1ST 100 FEET <br />SENER LINES, 1ST 100 FEET <br />FLF. ET SURCHARGE -ZONE 3 <br />PLUNBING STATE SURCHARGE <br /> <br />PAYEE: TOM DORAN <br />RECEIVED BY: P8 <br /> <br />* THIS IS NOT A .,PF_R4IT. <br />FOLLONING FIUST 8E COf4Pt~/t-O. <br />ALL NECESSARY INFO~IATION <br /> <br />H~lCJ~tl UN'"'"~PPL~L;AItUf4 MU: Nulug~'7 <br /> <br />TOTAL'~ASSESSED'FEES <br />PREV'IOUS:RECEIPTS <br />THIS RECEIPT <br /> <br />'BALANCE DUE <br /> <br />~UANTITT AIv~)UNT <br />1 $2o~oo <br />1 $30.00 <br /> $3.84 <br /> $2.50 <br /> <br />$56.34 <br /> $o.oo <br />$56,34 <br /> <br />$0.00 <br /> <br /> INVOICE NO: <br />TYPE:,,IN: CHECK <br /> <br />18027 <br /> 0 <br /> <br />'~J3PLICANT TO A..~RE THAT <br /> <br />PLAN REVIEN: BY ..... DATE <br />REMARKS; WATER/SE~ER LINES <br /> <br />CIT~,JURISDICTION= ~Y <br /> <br />DATE <br /> <br />FO~U,¢ MC~S-Se nEV ~/8~ OFFICE COPY <br /> <br /> <br />