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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 430 PM - 8 00 A M <br /> <br />SIGNATORE OF APPLfCANT _ <br /> 0AlE <br /> <br />owr~f~TE; 10/03/89 TIr4E: 10:58:54,~ T~XUO, <br /> DORAN, TON <br /> <br />90040-290 <br /> <br /> UGR <br /> <br /> 825 8TH CONTRACT CITY <br />AUi'4SvI LLE OR 9"/325 <br />usg o~ SU~LU~C.. AUIViSV I LLE <br /> <br />NO <br /> <br />DELHAR III <br /> <br />PO EOX 185 <br />SUBLZMITY OR 9?385 <br />PHONE: 759-7364 SITE NUIVl~ER: 8517 <br /> VALUATION: <br /> <br />t00 7500.00 SF NO NO <br /> <br />RESIDENTIAL <br /> <br />TYPE: PLUFBING PERNIT OR APPLICATION NO: 19355 <br /> <br />CONTRACTOR, NO. 28638 <br />T.G.NICHOL PLUI~BING, INC <br />P.O.BOX 166 <br />AUNSVILLE. OR 9?325 <br />PHONE: 749-2071 <br /> <br /> tTEN <br />RESIDENTIAL FIXTURE. NEN CONST_ <br />PLUFBING EASE FEE <br />FLEET .~J~3HARGE -ZONE 3 <br />PLUNBING STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 6 $54+00 <br /> $20.00 <br /> <br />TOTAL AS~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br /> $0.00 <br />$81_54 <br /> <br />8ALANCE DUE <br /> <br />PAYEE: TC~ DORAN INVOICE NO: 20524 <br />RECEIVED 8Yt P~ TYPE: IN CHECK ~: 0 <br />~ THIS IS A VALID PEI~IT * TH[¢ PERf4~T EXPIRES 180 DAYS FROCfl ITS IE._SUE DATE+ [F <br />CONSTRUCT[ON CF_.A~ES FOR A PERIOD OF 188 DAYS, OR IF CONSTRUCTION FAILS TO REET ALL <br /> OF STATE LA~ AND NtAR1ON COUNTY BUILDING AND ZONIN~ ORDINANCES, THIS PE~IT <br /> <br />REMARKS: 6 FIX <br /> <br />DONALD E. FDDDLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> <br />