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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 AM <br /> <br /> I am performing work on a property I own or occupy <br /> I am a registered builder OR f ) tllo 8ut~orlzod representative <br /> <br />DATE: 10/03/89 TI(NE: 8:52:20a <br /> DOI~,N, TOM <br /> <br />90061-321 <br /> <br />RESIDENTIAL <br /> <br /> 990 CHERYL <br />AUNSVILLE OR 97325 <br /> <br />USE OF BUILDING <br /> <br />AUMSVILLE NO <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF BEDT~O©M5 <br /> <br />PO BOX 185 <br />SUBLIMITY OR 97325 <br />PHONE: ?69-7364 <br /> <br />6 4 25 <br /> 83 98 <br /> <br />GI LDC~N II <br /> <br /> SITE NUMBER: 8510 <br /> VALUAT ION: <br /> <br />8S 2W RS <br />SF YES YES <br /> <br />MAP <br /> <br />TYPE: PLUMBING PEI:;~IT OR APPLICATION NO: 19331 <br /> <br />CONTRACTOR, NO. 28638 <br />T.G.NICHOL PLUMBING, ZNC <br />P.O.BOX 166 <br />AUIV~VILLE, OR 9?325 <br />PHONE: 949-2071 <br /> <br /> ITEN <br />RESIDENTIAL FIXTURE, NEW CONST. <br />PLUMBING 8ASE FEE <br />FLEET ,SURCHARGE -ZONE 3 <br />PLUC49ING STATE SURCHARGE <br /> <br />PAYEE: "rOM DORAN <br />RECEIVED BY: PB <br /> <br />QUANTITY ArcC2UNT <br /> 8 $72_00 <br /> $20.00 <br /> $3.84 <br /> $4.80 <br /> <br />TOTAL AE~EB~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$100.44 <br /> $o.00 <br />$100.44 <br /> <br />BALANCE DUE $0.00 <br /> <br />INVOICE NO: 20499 <br />TYPE: IN CHECK ~: O <br /> <br />* THIS IS A VALID PERI~4IT · THIS PERi, IT EXPIRES 180 DAYS FROIvl ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MSEF ALL <br />RECUIRE~IENTS OF STATE LANS AND h!ARION COUNTY BUILDING AND ZONING ORDINANCES. THIS PER~IT <br />SHALL BECO~IE NULL AND VOID. <br /> <br />REMARKS: 8 FIX <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />