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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 PM - 8:00 A,M <br /> <br /> I arb performing work on a property I own or occupy <br /> i am a re§lsteted burlder OR the authof~zod representative <br /> of a registered builder <br /> The work will be performed by a resistered builder <br /> Other __, <br /> I have food and agree to the term8 stated on the reverse side of <br /> th~s documenl <br /> <br /> DATE: 05/18/89 TIME: 4:15:48~ <br />OWNER <br /> DORAN, TOM <br />SITUS ADDreSS <br /> <br />90040-2&0 <br /> <br />CATEGOBY <br /> <br />OCCUPANCY <br /> <br /> 840 9TH ST <br />AUNSVILLE OR 97325 <br /> <br />USE OF BUILDING <br /> <br /> CONTRACT CITY <br /> <br />AUMSVILLE <br /> <br />NO <br /> <br />OCCUPANT LOAD <br /> <br />P.O. 8OX 186 <br />SUBLIMITY, OR 97385 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> <br /> 25 - <br />WIDTH DEPTtl AREA UNITS <br />75 100 <br /> <br />DEL MAR III <br /> <br /> VALUA r 1 ON: <br /> RANGE 7_ONE <br /> <br />8S 2W RS <br /> IRREG tOT CORNER <br /> <br /> NO NO <br /> <br />RESIDENTIAE'~ <br /> <br />NC) OF RFOROOMS <br /> <br />51 <br /> <br />TYPE: PLUMBING PEI~14IT OR APPLICATION NO~ 15796 <br /> <br />CONTRACTOR, NO. 28636 <br />T,G.NICHOL PLUMBING, INC <br />P.O.BOX 166 <br />AWMSVILLE, OR 97325 <br />PHONE= 749-2071 <br /> <br /> ITEM <br />RESIDENTIAL FIXTURE, NE1/g CONST. <br />PLUMBING BASE FEE <br />FLEET ,!FAJRCHARGE -ZONE $ <br />PLUMBING STATE SURCHARGE <br /> <br />OUANTITY AMOUNT <br /> 6 $54,00 <br /> $20.00 <br /> $3.84 <br /> $3.70 <br /> <br />TOTAL ASSBSSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br /> $81.54 <br />$134.04 <br />-$52.50 <br /> <br />BALANCE BIlE $0.00 <br /> <br />PAYEE: F_J'4ERY & ,,SONS CONST. INVOICE NO; 17111 <br />RECEIVED aY: PB TYPE: IN CHECK ~: 0 <br /> .... ---T--:F~ ......... ~ -'~-==~,--- . ........................ <br />* THIS IS A VALID PERMIT ~: THIS PERMIT EXPIRES:Ia0 DAY~ FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF,180 DAYS. ORIF CONSTRUCTION FAIl~ TO MEET ALL <br />RFJ~LiIREMENTS OF STATE LAIA~AND~RION COUNTY BUILDING /~ND ZONZN6ORDINANCES, THIS PERMIT <br />.SHALL BECOME NULL AND VOID. <br /> <br />RE~RKS: 6 FIX <br /> <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM ¢ MC 15-~6 F~EV ~88 OFFICE COPY <br /> <br /> <br />