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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 />af a registered budder <br /> <br />OtSor <br /> <br />DATE: 10/03/89 TINE: 8:51:57,~ <br /> EX)RAN, TOM <br /> <br />SITUS ADDRESS <br /> <br />TAX LOT <br /> 90061-321 <br /> <br />CONSTRUCTION TYPE <br /> <br />CAfEGORY <br /> RESI DENTIA% <br /> <br /> 990 CHERYL <br />AU~LSVILLE OR 9?325 <br /> <br />CONTRACT CITY UGB <br />AUMSV ! L L E NO <br /> <br />OCCUP&NTLOAD <br /> <br /> NO OFBEDROOMS <br /> <br />MAILING ADDRESS <br /> <br />FO 8OX 185 <br />SUBLIMITY OR 97325 <br />PHONE: ?69-?364 <br /> <br />LOT BLOCK SECTION <br /> 6 4 <br /> 83 98 <br /> <br /> TOWNSHIP <br /> <br />25 <br /> <br />GILOOW II <br /> <br /> SITE NUMBER.* 8510 <br /> VALUAT I ON: <br /> <br />8S 2W RS <br />SF YES YES <br /> <br />TYPE: PLUMBING <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />19330 <br /> <br />CONTRACTOR, NO. 44551 <br />B~AIN BETHEL & SONS EXC <br />7865 DEWDOCK LANE SE <br />~JRNER OR 97392 <br />PHONE: 743-2343 <br /> <br /> ITEM <br />WATER LINES, 9ST 100 FEET <br />SEWER LINES, 1ST 100 FEET <br />FLEET SURCHARGE -ZONE 3 <br />PLUMBING STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br />1 $20.00 <br />1 $30.00 <br /> ¢3.84 <br /> 2.50 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$56.34 <br /> $o.oo <br />$56.34 <br /> <br />PAYEE: TON DORAN <br />RECEIVED BY: PB <br /> <br />BALANCE DUE $0.00 <br /> <br />INVOICE NO: 20498 <br />TYPE: IN CHECK ~: 0 <br /> <br />* THIS IS A VALID PERMIT * THIS PEE~IT EXPIRES 180 DAYS FRO~I ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE ~ AND I~[ARION COUNTY BUILDING AND ZONING ORDINANCES. THIS PERi'lIT <br />SHALL BECOME NULL ANDVOID+ <br /> <br />REMARKS: WATER/SEWER <br /> <br />DONALD E. Ic¢3ODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />~O~M ~ MO 1558 Rev I1'~ OFFICE COPY <br /> <br /> <br />