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MARION COUNTY BUILDING INSPECTION <br />SEN.~,OR B~'DG NO 225 <br />22,0 FIIGH-STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4 30 PM - 8::00 AM <br /> <br />DA~'E: th(~3p6~¢89 TIME: 3; 14: 54p <br /> DORAN, TON <br /> <br />90040-300 <br /> <br />CATEGORY <br /> <br />RESIDENTIAL <br /> <br />s"us~S~TH ST <br />AUMSVILLE OR 9?325 <br /> <br />AUI~ CITY <br /> <br />OGGUPANSY <br /> <br />O00UPANT LOAD <br /> <br />NO OFBEDHOOMS <br /> <br />SUBLIMITY OR 97385 <br />FHONE: 769-7364 <br /> <br /> DELMAR III <br /> <br />SITE NUMBER: <br /> VALUATION: <br /> <br />6738 <br /> <br />~OT 1 ? BLOC~ 5 <br /> <br /> ?5 <br />WIDTH DEPTH <br /> <br /> S~-CTION 25 TOWNSHIP 9S RANGB 2W ZONE <br />100 7500.00 SF NO NO <br /> <br />TYPE: ~LUMB[NG <br /> <br />PERMIT OR APPLICATION NO: 9014548 <br /> <br />CONTRACTOR, NO. 28638 <br />T+G.NIOHOL PLUMBING, INC <br />P-O.BOX 166 <br />AUI~SVILLE, OR 97325 <br />PRONE: 748-2071 <br /> <br /> ITEM <br />RESIDENTIAL FIXTURE, NEW CONST. <br />PLUMBING BASE FEE <br />FLEEr SURCHARGE -ZONE 3 <br />PLUIV~ING STATE ,SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 6 $54.80 <br /> $20.00 <br /> ~3.84 <br /> 3.70 <br /> <br />TOTAL ~SSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$81.54 <br /> $0.00 <br />$81.54 <br /> <br /> BALANCE DUE $0.00 <br />PAYEE: EMERY & SONS CONST. /~/~,,'/ INVOICE NO: 15422 <br />RECEIVED BY: cr ~¢..~____. TYPE: IN CHECK ~: 0 <br />~ THIS IS NOT A PEI~IIT. THIS APPLICATION NUST GO THROUGH A RBVI~ PROCESS AHERE THE <br />FOLLOWING ~UST BE O3flPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFOR~ATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY ........... DATE ~_ CITY JURISDICTION: BY DATE <br />REMARK.q: 6 FIX <br /> <br />FORM ¢~ MC 1556 REv H'88 OFFICE COPY <br /> <br /> <br />