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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 am a registered builder OR I ) the authorized topresentatwe <br /> <br />°wJS¢~tE; 05/17/89 TINE= 12:49:12p <br />S~TUS AOO~ES~:x)RAN' TOM <br /> <br />TAX LOT <br /> <br />CONSTFtUOTION TYPE 90040-090 <br /> <br />CATEGC~RY <br /> <br />OCCUPANCY RESIDENTIAL <br /> <br /> 855 9TH ST <br />AUMSV I LLE OR 97325 <br />US~ OF BUILDING <br /> <br /> CONTRACT CITY <br /> <br />AUMSVI LLE <br /> <br />UGB <br /> <br />NO <br /> <br />OCCUPANT LOAD <br /> <br /> NO OFBEDROOM9 <br /> <br />MAILING ADDRESS <br /> <br />P.O. BOX 185 <br />~UBLIMITY, OR 97385 <br />PHONE: 769-7364 <br /> <br />?5 <br /> <br /> SECTION TOWNSHIP <br /> <br /> AREA 25 UNITS <br />98 7350.00 <br /> <br />88 <br /> <br />SF <br /> <br />SITE NUFIBER: 7213 <br />~^NNCALUATION: ZONS <br /> <br />IRREG LOT 2[~ CORN~H RS <br /> NO NO <br /> <br />TYPE: PLUNBING <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 55493 <br />TOM BOP, AN <br />PO 80X 185 <br />SUBLIMITY 97385 <br />I:~ONE: ?69-?364 <br /> <br /> ITEM <br />RESIDENTIAL FIXTURE, NEW CONST. <br />WATER LINES, 1ST 100 FEET <br />SEWER LINES, 1ST 100 FEET <br />PLUMBING BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />PLUMBING STATE SURCHARGE <br /> <br />15814 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br />6 $54.00 <br />1 $20.00 <br />1 $30.00 <br /> $20.00 <br /> ~3.84 <br /> 6.20 <br /> <br />~134.04 <br />134.04 <br /> $0.00 <br /> <br />$0.00 <br /> <br />PAYEE; ~ INVOICE NO: <br />RECEIVED BY: P8 ...... ~ TYPE: CHECK :~t <br /> <br />~ THIS IS A VALID PERi, IT * TH,~S 'IP~iT EXPIRES 180 ~ F~ ITS I~E ~TE. IF <br />~CTI~ C~ ~R A P~ OF 1~0 ~. OR IF ~T~CTI~ FAI~ TO ~ ~L <br />REtIREeS OF STATE ~': ~D;. ~Z~ ~N~ '8UI~IN6 ~D Z~IN60RDIN~C¢, ~IS PE~IT <br />~g B~E NULL ~O VOID. <br /> <br />REHARKS: 6 FIX, WL , SL <br /> <br />DONALD E. WOODLEY, FIARION COUNTY BUILDING OFFICIAL / BY <br /> <br />COPY <br /> <br /> <br />