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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 RM. - 8:00 A.M. <br /> <br />I am pedOrmin~ work on m property I own Dr OOOUpy. <br /> <br />DATE: 08/22/89 TINE** 11:22:36a <br /> <br />DORA.N. TON <br /> <br />RES I DENT I AL, <br /> <br /> 915 :HAZEL ST <br />AUI~SV 1 LLE <br /> <br />PO 8OX lBS <br />SUBLIMITY OR 97385 <br />PHONE: 769-7364 <br /> <br />OR 97325 <br /> <br />AUMSVILLE NO <br /> <br />SUBOIVI$1ON: <br /> GILDOW II <br /> <br />SITE NUMBER*. <br /> VALUATION: <br /> <br />?645 <br /> <br />LOT' BLOCK: SECTION; TOWNSHIP: <br /> 4 24 <br /> <br />W~BTH: ?? DEPTH: 97 AMEA: UNITS: <br /> <br />8S 2W <br />SF IRRE~i LOT: y~ CORFIEH;NO <br /> <br /> MAP: <br />RI 61 <br /> <br />TYPE: PLUM~ING <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 28628 <br />T.G.NICHOL PLUMBING, INC <br />P.O.BOX 168 <br />AUM~VILLE, OR 97225 <br />PHONE: 749-2071 <br /> <br /> ITEN <br />RESIDENTIAL FIXTURE, NEN CONST. <br />PLUMBING BASE FEE <br />FLEET?~JRCHARGE -ZONE 3 <br />PLUMBING STATE SURCHARGE <br /> <br />PAYEE: TON DOI:b~N <br />RECEIVED BY: P8 <br /> <br />9016945 <br /> <br />~UANTITY <br /> 6 <br /> <br /> TOTAL .AS~E~38EO.. ~,EE~: <br /> PRB¥.I OUS RECEIPTS <br /> THIS RECEIPT <br /> <br /> BALANCE DUE <br />~ INVOICE NO: <br /> '"" TYPE:. IN CHECK <br /> <br /> At4OUNT <br /> ¢54.00 <br /> 20.00 <br /> $3.84 <br /> $8.?0 <br /> <br /> $81.54 <br /> $0.00 <br /> $8t.54 <br /> <br /> $o.0o <br /> <br />18015 <br /> 0 <br /> <br />* THIS I$ NOT A PERMIT. THIS AP .~L__ICAT;ION ,MUST, ~O',THROUEH A, uREVIEN P~ {~tERE THE <br />FOLLONIN8 HEIST 8E COI~ED. ~.; 'ItT'IS "fl4E I~BIL:rT~.~,.OF..THE APPLICANT TO AS~JRE THAT <br />ALL NECE~aCbf INFO~C4~TION HA~ BEEN, 'PROVIDED; <br /> <br />PLAN REVIEW.' BY <br />RE~IAPJ{%: 6 FIX <br /> <br />DATE <br /> <br />CITY JURIISDICTION: BY .......... DATE ........ <br /> <br />FORM # MC 15-56 R~V 1~/80 OFFfCE CO?Y <br /> <br /> <br />