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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 - 800 A M <br /> <br /> I have read andaqra ree to the terms stated on the reverse s~de of <br />DAl~L~:doc~],/~.3/'89 T ¥ ME: 8: 39: 22a <br /> <br />BOP, AN, TOM <br /> <br />90040-230 <br /> <br />CATEOORY <br /> <br />UOB NO <br /> <br />USE OF BUILDING <br /> <br />SUBLIMITY OR 9?385 <br />I:~rtONE: 769-?364 <br /> <br />SUBDIVISION OELIVlAR III <br /> <br /> SITE NUMBER: <br /> VALUATION: <br /> <br />8509 <br /> <br />75 100 7500.00 <br /> <br />SF NO NO <br /> <br />M~P 5 1 <br /> <br />TYPE: PLUfC~ING PERMIT OR APPLICATION NO: 19327 <br /> <br />RESIDENTIAL <br /> <br />CONTRACTOR, NO. 28638 <br />T.G.NZCHOL PLUMBING, INC <br />P.O.BOX 168 <br />AUfv~VlLLE, OR 9?325 <br />PHONE: 749-2071 <br /> <br /> ITEM <br />RESIDENTIAL FIXTURE, NEW CONST. <br />PLUIV~ING BASE FEE <br />FLEET .~JRPJqARGE -ZONE 3 <br />PLUMBING STATE SURCHARGE <br /> <br />PAYEE: TOM DORAN <br />RECEIVED BY: PB <br /> <br />QUANTITY AMOUNT <br /> 6 $54.00 <br /> $20.00 <br /> ¢3.84 <br /> 3.?0 <br /> <br />TOTAL A,.SSE~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$81.54 <br /> $o.oo <br />$81.54 <br /> <br />BALANCE DUE $0.00 <br /> <br />INVOICE NO: 20495 <br />TYPE: IN CHECK ~: 0 <br /> <br />~ THIS IS A VALID PERNIT ~ THIS PEENIT EXPIRES 180 DAYS FRC~4 ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, oR IF CONSTRUCTION FAILS TO MEET ALL <br />RE~X~IR~ENTS OF STATE LA~ AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PEE~IlT <br />SHALL BECOME NULL ~D VOID. <br /> <br />REMARKS: 6 FIX <br /> <br />[X)NALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />Corem ,~ Mc 15-56 nE~ Hs~ ©FFLCC COPY <br /> <br /> <br />