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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 />~IGNAFURE OF AHHLICANf <br /> <br /> DATE <br /> <br />DATE: 11/16/88 TIMEs 12:87:31p <br />OWNER <br /> <br /> NILLIA~, FLAX <br /> <br /> TAX LOT <br /> <br /> 208-0586 <br /> <br />AUFISVI LLE NO <br /> <br /> 8?5 N 1ST ST <br />AU~VILLE OR 97325 <br /> <br />MAILING ADDRESS <br /> <br />SUBDIV~SION <br /> <br />PO 8OX 351 <br />AUIv~VlLLE OR 9?325 <br />I:+tONE~ 749-1048 <br /> <br />BLOCK <br /> <br />WIDTH DEPTH <br />214 29'7 <br /> <br /> SITE NUIVlBER: <br /> VALUATION <br />SECTION TOWNSHIP RANGE <br /> <br /> 25 8S 2N <br /> <br /> 63558.0 SF NO <br /> <br />GATEGO~IY <br /> RES I DENT I AL <br />OCCUPANCY <br /> <br /> 5956 <br /> <br /> 51 <br /> <br />NO <br /> <br />TYPE: PLUFiBiNG PEF~IVliT OR APPLICATION NO: 12524 <br /> <br />CONTRACTOR, NO. 28828 <br />T.G.NICHOL PLUFIBING, INC <br />P.O.BOX 166 <br />AUNSVILLE. OR 9?225 <br />PHONE; 749-2071 <br /> <br /> ITEM <br />RE.SIDENTIAL FIXTURE. NEW CONST. <br />PLUMBING BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />PLUMBING STATE SURCHARGE <br /> <br />PAYEE~ T.G.NICHOL PLUMBING, INC <br /> <br />TOTAL ASSESSED FEF~ <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QtJANTITY AMOUNT <br /> 5 $45.00 <br /> $20.00 <br /> $3.84 <br /> $8.25 <br /> <br />$?2.09 <br /> $0.00 <br />$72.09 <br /> <br />BALANCE DUE $0.00 <br /> <br />INVOICE NO: 13292 <br /> <br />RECEIVED BY: PB TYPEs IN CHECK ~ 0 <br /> <br />$ THIS IS A VALID PERt4IT ~ THIS PER'lIT EXPIRES 180 DAYS FRON ITS 1Ex.SUE DATE. IF <br />CONSTRUCTION CF_.~ES FOR A PERIOD OF 180 DAYS, OR IF CONSTR[JCTION FAILS TO NEET ALL <br />REQUIREMENTS OF STATE LAWS AND MARION COJNTY 8LIILDING AND ZONING ORDINANCES, THIS PBRMIT <br />~HALL BEOOME NULL AND VOID. <br /> <br />REMARKS.' 5 FIX <br /> <br />DONALD E. HOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />