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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 />Other <br /> <br /> BATE: 06/26/89 TIME: 3:57:21p <br /> <br />OWNER: DORAN, TOM <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> DATE: <br /> <br />TAX LOT: 90081--271 <br /> <br />CATEGOnV: RESIDENTIAL. <br /> <br /> 916 ~HAZEL ST <br />AU~'E, VILLE <br /> <br />USE OF BUiLDiNG' <br /> <br />MA{LING ADDRESS; <br /> <br /> PO 80X 185; <br /> SUBLIMITY OR 97S85 <br /> PHONE: 769-7364 <br /> <br />OR 97325 <br /> <br />1 4 24 6S <br /> 77 97 SF <br /> <br /> CONSTRUCTION TYPE: <br /> <br /> CONTRAOT CITYZ UGB: <br />AUMSVILLE NO <br /> <br />SUBDIVISION: <br /> <br />GILDOW II <br /> <br />OCCUPANCY: <br /> <br />ODDUPAN'T' LOAD: <br /> <br /> NO. OF BEDROOMS <br /> <br /> SITE NUI'/I3ER .* '7645 <br /> VALUAT I ON: <br /> <br />RANGE: ZONE'. <br /> 2W RI <br /> <br /> YES <br /> NU <br /> <br />MAP: <br /> <br /> 51 <br /> <br />TYPE; MECHANICAL PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 55493 <br />TOtVl DORAN <br />PO BOX 185 <br />SUBLIMITY 97385 <br />PHONE: 769-?364 <br /> <br /> ITF_Jvl <br />DOMESTIC RANGE HOOD <br />DON F. XHST FANS & DRYER VENTS <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />16948 <br /> <br />TOTAL ,,~A.~S, ESSEDFEES <br />PRE'VtlCttSRECEI~TS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br />1 $4.50 <br />8 $9.00 <br /> $10.00 <br /> sa. 84 <br /> $1.18 <br /> <br />$28.52 <br />$28.52 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: INVOICE NO: <br /> <br />RECEIVED BY: P8 TYPE: 'CHECK ~: <br /> <br />~ THI~ IS A VALID PEf~IT D~YS: F-RO~ ITS I~SUE DA'fiE. IF <br />~TI~ C~ FOR A FAI~ TO ~ ~ <br />~iRBBTS ~ ~ATE ILDI~ ORDI~. ~iS PE~IT <br /> L 8~ NULL ~D ~IDL ', ..... ' ' .:" <br /> <br />REMARKS: HD F'N <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM # MC 15-50 REV. 11/88 OFFICE COPY <br /> <br /> <br />