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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 430 PM.- 800 AM <br /> <br />ow~TE ~ 05718/88 <br /> <br /> DORA.N, TON <br /> <br />TIME: 4:22~13p <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />90040-280 <br /> <br />DENT I Ab- ':! <br /> <br /> 815 8TH ST <br /> AUMSVILLE <br /> <br />USE OF BUILDING <br /> <br />OR 97325 <br /> <br />AUHSVI LLE <br /> <br />NO <br /> <br />P.O. BOX 185 <br />SUBLIMITY, OR 97385 <br />PHONE= 769-7864 <br /> <br />LOT BLOCK SECTION TOWNSHIR <br /> <br />SITE NUMBER: ?208 <br />VALUAT ION: <br />RANGE 7.ONE <br /> <br />79 79 <br /> <br /> 25 <br /> UN[TS <br /> <br />824,1.00 <br /> <br />88 <br /> <br />SF <br /> <br />2W ~ 51 <br />NO NO <br /> <br />TYPE: PLUMBING <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />15810 <br /> <br />CONTRACTOR, NO. 28638 <br />T.G.NICHOL PLUMBING, INC <br />P.O.BOX 166 <br />AUMSVILLE, OR 9?325 <br />PHONE: 749-2071 <br /> <br /> ITEM <br />RESIDENTIAL FIXTURE, NEW CONST. <br />PLUMBING BASE FEE <br />FLEET SUROHARGE -ZONE 3 <br />PLUMBING STATE SURCHARGE <br /> <br />QUANTITY AMOtJNT <br /> 6 $54.00 <br /> $20.00 <br /> $3.84 <br /> $8.70 <br /> <br />TOTAL ASSEENSED FEE~ <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br /> $81.54 <br />$134.04 <br />-$52.50 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: FJ4ERY & SONS CONST. INVOICE NO: 17113 <br />RECEIVED BY: P~ .... :__ .... TYPE~ [N CHECK ~; 0 <br /> <br />* THIS IS A VALID PEi~IIT ~: ~'HI8 ,PEr.lIT EXPIRES 180 DAYSFROM ITM I~E ~TE+ IF <br />~S~CT[~ C~ FOR A PERI.:OF, IS0 ~ OR IF~TI~ FAI~ TO~ ~L <br />REdIReCTS OF STATE ~;~O~~N~ BUZLDZNG~DZ~ZNG ORD[N~C~. ~[S PE~ZT <br />~ALL 8E~NULL~D VOID. <br /> <br />REMARKS; 6 FIX <br /> <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />,O~M * MC ~-~ .er ,,~ OFFICE COPY <br /> <br /> <br />