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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, ORF, GON 97301 <br /> <br /> PHONE 585-5147 <br />CODE-A-PHONE 4:30 P,M. - 8;00 A.M. <br /> <br /> KEUDELL, NENDELL · I R <br /> <br /> 11116 BE. AN ALLEY ;RD · ~3~ .i:G~NT~ACT.CITY'' i UGB'. , iOCCUPAN~ LOAD; <br /> AUNSVI LLE OR 97325 · { ~ <br />us~ o~ ~U,Lo~ ........................ ~ ............. ~R~'~ ' ~T~ "' NO~ :" ........ ~ ~"~ o~' ~o,oo~ <br /> <br /> (FILE & CARD ALREADY NADE) I <br /> <br />LOT: BLOCK: SECTION: ':?~WN~H~P'.~ ~ ~ RANGE'· ~ ~ ZONE; ~ ~: MAP: <br />WIDITH: DEPTH: AREA; [UNITS'· ~ IRREG, LOT; ~ CORNER: ~ ~0 <br /> ; ............ ; <br /> <br />TYPE: ::P~i~' · ~IT OR .AI:~LICATiION NO: .5763:~' <br /> <br />CONTRACTOR, NO. 28638 <br />T.G.NICHOL P~ING, INC <br />P.O.BOX 166 <br />'..AUN~VILLE, OR 9732S <br />PHONE= 749-2071 <br /> <br />RESIDENTIAL F[X'IIJRE, NEN CONST. <br />PLUMING I~SE FEE <br />FLEET E~URCHARGE -7..~NI~ 3 <br />PLUMSTNG STATE .SURCHAF~E <br /> <br />PAYEE: T.G.NICHOL PU.~IN~,t [NC <br />RECEZVED bY: CL <br /> <br />q~JANTITY ~OUNT <br /> 12 $90.00 <br /> $10.00 <br /> $3.84 <br /> $5.00 <br /> <br />$108.84 <br /> $0.00 <br />$108.84 <br /> <br />~CE ME $o.oo <br /> <br />~,~R~,~IP]~ NO..' 6329 <br />CE.' ;, ;.OriECK At. 2946 <br /> <br /> ZF <br /> <br />1HIS I~I~T <br /> <br />~RKS= 12 FIX <br />DONALD E. NOODLE'Y, I~ARZON COUNTY BI.J-[[DZN~'OFE~CIAL /.EW' ~t <br /> <br />OFFICE COPY <br /> <br /> <br />