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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 2'~5 <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 />SIGNATURE OF APPLICANT .... <br /> DATE .... <br /> <br />ow~TE: 05/1'?'/89 <br /> OORAN, TOM <br /> <br />TIME= 2:02:10p <br /> <br />TAX LOT <br /> <br />90040-280 <br /> <br />RES I DENT IA[: ~ <br /> <br /> 815 8TH ST <br /> AUNSVI LLE <br />USE OF BUILDING <br /> <br />OR 97825 <br /> <br /> CONTRACT CITY UGB <br />AUMSVI LLE NO <br /> <br />OCCUPANT~,~A0 <br /> <br /> NO OFBEDROOMS <br /> <br />P.O. BOX 185 <br />SUBLIMITY, OR 97385 <br />PHONE: 769-7364 <br /> <br />SECTION <br /> <br />TOWNSHIP <br /> <br />SITE NUIV~ER: 7208 <br />RAN6YALUATION: ZONE <br /> <br />MAP <br /> <br />WI~>TH DEPTH AREA <br /> 79 79 <br /> <br />8241.00 SF NO NO <br /> <br />TYPE: PLUN~ING <br /> <br />PEF~IlT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 55493 <br />TOM [30RAN <br />PO BOX 185 <br />SUBLIMITY 97385 <br />PHONE: 789-7364 <br /> <br /> ITEM <br />RESIDENTIAL FIXTURE. NEW CONST. <br />WATER LINES, 1ST 100 FEET <br />SBAIER LINES, 1ST 100 FEET <br />PLUI~ING BASE FEE <br />FLEET SURCHAI~E -ZONE 3 <br />PLUIV~ING STATE SURCHARGE <br /> <br />PAYEE; <br /> <br />15810 <br /> <br />TOTAL ASSEE~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QU,a,NTITY ANOUNT <br />6 $54.00 <br />1 $20.00 <br />1 $30.0O <br /> $20.00 <br /> ~3.84 <br /> 6.20 <br /> <br />$134.04 <br />$134.04 <br /> $o.oo <br /> <br />8ALANcE DUE $0.00 <br /> <br />INVOICE NO: <br /> <br />RECEIVED BY: PS ........ ........ , TYRE: CHECK ~: <br /> _SiS A VALID PERNiT :¢, TH~S:PEi~I'F;EXP'IRES 180 DAY~:FRON ITS ISSUE DATE~ <br /> <br />REI'4ARKS: 6 FIX, NL ,SL <br /> <br />DONALD E. NOODLEY, MARION COJNTY BUILDING OFFICIAL / BY <br /> <br />:% <br /> <br />FORM # MC 1~,~ ~ ll'8~ OFFICE COPY <br /> <br /> <br />