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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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 />S~TUS ADOr~, TON <br /> <br />TINE: 10:29:31 <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYP~O040--OOO <br /> <br />CATEGORY <br /> <br />Occur'*,NC¥ RESIDENTIAL <br /> <br /> CONTRACT CITY UE~B OCCUPANT LOAD <br />865 9TH ST <br /> AUMSVILLE NO <br /> <br />MA~LING ADDRESS SUBDIVISION <br /> <br /> DELI'4AR I I I <br /> I:'O BOX 185 <br /> SUBLIMITY OR 9?385 <br /> PHONE: ?69-?364 SITE NUNBER~. 7377 <br />LOT BLOCK SECTION TOWNSHIP ~¢~tJAT ION: ZONE <br /> <br />WID~Hg DEPTH 4 AREA 24 UNITS 8S IRREC~ LOT2w CORNER 51 <br /> <br />TYPE: PLUf48 IN6 <br /> <br />PERNIT OR APPLICATION NO: <br /> <br />CC~NTRACTOR, NO. 28638 <br />T.G.NI(~HOL PLUMBING, INC <br />P.O.BOX 185 <br />AUMSVTLLE. OR 9?325 <br />PHONE: 749-2071 <br /> <br /> ITEM <br />RESIDENTIAL FIXTURE, NEl~ CONST. <br />PLUMBING BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />PLUNBING STATE SURCHARGE <br /> <br />PAYEE-" TOl~l DORAN <br />RECEIVED BY: P8 <br /> <br />9020459 <br /> <br />QUANTITY AMOUNT <br /> 6 $54. O0 <br /> $20.00 <br /> $8.84 <br /> $3.7o <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$81.54 <br /> $0.00 <br />$81.54 <br /> <br />BALANCE DUE $0.00 <br />,~' . INVOICE NO: 21712 <br />~ TYPE. IN CHECK ~: 0 <br /> <br /> * THIS IS NOT A PER~IT. THIS APPLICATION I~JST GO THROUGH A REVIEN PROCESS NHERE THE <br />FOLLOWING FlUST 8E COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ~RE THAT <br />ALL NEOk-'~ARY INFOE~IATION HAS SEEN PROVIDED+ <br /> <br />PLAN REVIE[~: BY .......... DATE ............. <br />RENARKS: 6 FIX <br /> <br />CITY JURISDICTION: BY DATE <br /> <br />~O~M ~, Mc ~,~ ~, nE~ e,8? OFFICE COPY <br /> <br /> <br />