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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 688-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A,M, <br /> <br />Other <br /> <br /> DATE: 06/26/89 TINE: 3;56:53p <br />OWNER: BORAN, TON <br /> <br />SIGNATURE OF ACPLIOANT: <br /> <br /> DATE: <br /> <br />TAX LOT: 90061 --2? 1 <br /> <br />CATEGORY. RESIDENTIAL <br /> <br />SITUS ADDRESS: <br /> <br /> 916 HAZEL ST <br /> AUIvLSVILLE <br /> <br />USE OF ~U~LDING: <br /> <br /> PO BOX 185 <br /> SUBLIMITY OR 97385 <br /> PHONE: 769-7354 <br /> <br />OR 97325 <br /> <br />LOT: BLOCK: SECTION: TOWNSHIP: <br /> 1 4. 24 <br />W~DTH: 77 ~EP'rH: 97 AREA: UNITS: <br /> <br /> CONSTRUCTION TYPE: <br /> <br /> OONTRACT CITY: UGB: <br />AUI'4SV I LLE NO <br /> <br />GI LDON II <br /> <br /> SITE NUIVSER: 7645 <br /> VALUATION; <br /> <br />8S ~W R I <br />SF ~RR~G. LOT: YES <br /> <br />OCCUPANCY: <br /> <br />OCCUPANTLOAD: <br /> <br /> NO OFSEBROOM$ <br /> <br />MAP: <br /> 51 <br /> <br />TYPE: PLUMBING PERNIT OR APPLICATION NO: 16945 <br /> <br />CONTRACTOR, NO. 28638 <br />T.G.NICHOL PLUIvISING, INC <br />P.O.BOX 186 <br />.NJr~SVILLE, OR 9?325 <br />PHONE: 749-2071 <br /> <br /> IT.E~ <br />RESIDENTIAL FIXTURE, NEN CONST. <br />PLUFIBING BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />PLUIvIBING STATE SURCHARGE <br /> <br />QUANTITY <br /> 6 <br /> <br />PAYEE: <br />RECEIVED BY: P8 <br /> <br />* THIS IS A VALID PERNIT <br />CO~TRUCTION CEASEI5 FOR <br />EEQUIREMENTSOF STATE <br />SHALL 8EC~E NULL AND <br /> <br />REMARKS: 6 FIX <br /> <br />~OTAL.ASSESSED FEES <br />REVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE ETJE <br /> <br /> INVOICE NO: <br /> TYPE: CHECK i~; <br /> <br />liD<PI, RES I0 'DAY~:FRI~ ITS I~IJE OATE. <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />AJ'4OUNT <br /> 54.O0 <br /> 20.00 <br /> ~3.84 <br /> 3.70 <br /> <br />¢81.54 <br /> 81.54 <br /> $0.00 <br /> <br />$0.00 <br /> <br /> IF <br />FAIL~ TO NEET ALL <br />,iZONING ORDINANCES. THIS PEI~IT <br /> <br />.! <br /> <br />FORM t* MC I5.$8 RaY '1/88 OFFICE COPY <br /> <br /> <br />