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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 RM. - 8:00 A,M, <br /> <br />SIGNATURE OF APPI. ICANT: <br /> <br /> DATS; <br /> <br />39/1 ]/89 <br /> <br />OORAN, TOM <br /> <br />TIME: <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYPE: <br /> <br />900¢0-490 <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: <br /> <br /> 370 8THo,"~'~ <br /> ALiMSV :[ L LE <br />USE OF BUILDING: <br /> <br />OR 97325 <br /> <br />CONTRACT CITY: UG8; <br />AUMSV I LLE NO <br /> <br />OCCUPANT LOAD: <br /> <br /> NO. OF BEDROOMS: <br /> <br />PC) 50X ]85 <br />3UBLIMi TY OR 9'7388 <br />PI-!,',')NE~; 789-.?364 <br /> <br />SECTION: <br /> <br /> DELMAR I :_r I <br /> <br /> SiTE NUMBER: 8335 <br />TOWNSHIP; R,"NG~{ALUATtON: ZONE: UAR: <br /> <br />WIDTH: 8 DEP'rH~ ~ AREA: <br /> <br /> 28 UNITS: 38 IRREG LOT: 2[~1 CORNER: ~S 8 ] <br />? '! 2~, 08 SF NO NO <br /> <br />TYPE: PLUMB <br /> <br />CONTRACTOR, NO. 3'!2 <br />EMERY & SONS C;ONST. <br />";)O 8OX 398 <br />STAYTON, ORE 97383 <br />IEHONE: ?89-7?5'7 <br /> <br /> ITEM <br />WATER L_~NES, 18¥ 100 FEET <br />'.}3, EWER LINES, 1ST 100 FEET <br />FL,.EE7 SURCHARGE ~ZONE a. <br />PLUMBING STATE SURCHARGE <br /> <br />PERMIT OR APPLICATION NO: 9018767 <br /> <br />1~OTAL ASSESSED ~E'ES <br />PREVIOUS RECEP ~S <br />THIS RECE~P <br /> <br />QUANT !'TY <br /> <br />A;V!OLI N T <br /> $20. O8 <br /> $30.08 <br /> <br /> $2,8',; <br /> <br />$ 5 l, 6,,: <br /> $o.oo <br /> <br />ECALANCE DUE ..C ....... <br /> <br />· AY,,.E OV~ DORAN CON,.'.T "'":: INVOIPF Nn o*s~ <br />ixE(.~iVcO ~Y: PF3 D .~. <br /> <br />__~ZS ZS NOT A <br /> ~ERE <br /> THE <br />~L~¢~T.~_CO~LET~D-f',:(;}2~',',',:~S":'%ME {,:~RES~S~g~: OF" ~E:'APPL~C~T" "~" ~ TO AS~RE <br /> ~AT <br />ALL N~U~ANY INPU~TZ~ <br /> <br />~E~iARKS: NATER/SEZW~R LINES <br /> <br />FOBM ¢¢ MC 12-~6 RE',~ H/88 OFFICE COPY <br /> <br /> <br />