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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 />°WhiTE: 06/22/89 TIMEr 11:23=2Oa <br /> <br />RES I DENT [ AL <br /> <br /> 915 HAZEL ST <br />AUMSVILLE OR 97325 <br />USE 0¢ BUIL01NG: <br /> <br />AU~SVILLE NO <br /> <br />OOCUPANT[.OAD: <br /> <br /> NOOFPEOHOOMS: <br /> <br />PO SOX 185 <br />SUBLIMITY OR 97385 <br />PHONE: 789-?364 <br /> <br /> GILDOW II <br /> <br /> ~ITE NUMSER~ <br />~^N~VALUATION~zON~i <br /> <br />7645 <br /> MAP: <br /> <br />77 97 <br /> <br />SF YE~ NO <br /> <br />RI 51 <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATION NO: <br /> <br />CE~TRACTOR, NO. 55493 <br />TOM EX)RAN <br />PO BOX 185 <br />SUBLIMITY 97385 <br />PHONE: 789-7364 <br /> <br /> ITB'1 <br />DOt4ESTIC RANGE HOOD <br />DOM EXHST FANS & DRYER VENTS <br />MECHANICAL 8A~E FEE <br />FLEET SURCHARGE -7ONE 3 <br />MECHANICAL ,.STATE SURCHARGE <br /> <br />PAYEE: TOM DORAN <br />RECEIVED BY: <br /> <br />~< T~IS IS NOT A P~IT. <br />FOU..O~ING MUST 88 COMPLETED.a,',, <br />ALL NECESSAR~f <br /> <br />PLAN REVIEW: 8Y ...... <br />REMARKS: HO FN <br /> <br />9016948 <br /> <br />TOTAL :AS.SEE~ED FEES <br />PR~IOUS RECEIPTS . <br />T~IS,RECEIPT, <br /> <br />:QUANTITY AHOUNT <br />1 $4_50 <br />3 $g.00 <br /> $10.00 <br /> ~3~84 <br /> 1.18 <br /> <br /> $29.52 <br /> $0.00 <br /> $28.62 <br /> <br /> $o.oo <br /> <br />NO: 18017 <br />;~ECK ~: 0 <br /> <br /> [EN ~ ~rlERE THE <br /> TO A..~SURE THAT <br /> <br />DATE <br /> <br />FOR~ # U,~*S-S~ .~v *S~, OFFICE COPY <br /> <br /> <br />