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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 P.M - 8::00 A.M.. <br /> <br />DATE <br /> <br />DATE; 12/04/89 <br /> <br />S~TUS ADD--AN, TOM <br /> <br />TIME.* 16:00:54 <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPg0040--080 <br /> <br />OCCUPANCY RES~f DENTIAL <br /> <br />865 9TH ST <br /> OR 97325 <br /> <br /> CONTRACT CITY UGB <br /> <br />AU~SVILLE NO <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF BFDR00M5 <br /> <br />SUBDIVISION <br /> <br /> PO BOX 185 <br /> SUBLIMITY OR 9?385 <br /> PHONE: ?69-?864 <br />LOT BLOCK <br /> <br />SECTION : TOWNSHIP <br /> <br /> DELI~,R I I I <br /> <br />SITE NU~ER: <br /> ~e_~JAT I ON: zone <br /> <br />7377 <br /> <br />MAP <br /> <br />.... ¢E9 NO <br /> <br />51 <br /> <br />TYPE: MECHANICAL PERHIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 55493 <br />TON DORAN <br />PO BOX 185 <br />SUBLIMITY 9?385 <br />PHONE: ?69-7364 <br /> <br /> ITEM <br />DOMESTIC F~NGE HOOD <br />EOM EXHST FANS & DRYER VENTS <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />20461 <br /> <br />TOTAL .~xSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DOE <br /> <br />(~UANTITY <br /> 1 <br /> 3 <br /> <br />AJvlOUNT <br /> $4,50 <br /> $9.00 <br /> $10,89 <br /> <br /> ,18 <br /> <br />$28.52 <br /> 28_52 <br /> $o.o0 <br /> <br />$0.00 <br /> <br /> PAYEE= INVOICE NO: <br /> RECEIVED BY: F~8 TYPE: CHECK :b: 0 <br /> <br />~ ~HI$ IS A VALID PERMIT ~ THiS PERMIT EXPIRIB~ 180 DAY~ FROD1 ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF O(~ISTRUCTION FAIL~ TO NEET ALL <br />RFJ~JIREMENTS OF STATE LAMS AND MARION COUNTY BUILDING AND ZONING ORDINANCE'~, THIS PERMIT <br />SHALL BECOC4E NULL AND VOID. <br /> <br />RENARKS; HD VT <br /> <br />DONALD E. VC3ODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />