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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 />S~GNATURE OF APPLICANT <br /> DATE <br /> <br />OWNEH <br /> DATE: 05/10/89 <br /> <br />SITUS ADDRSS~)RAN , TOM <br /> <br />TIME: 10:55:13e <br /> <br />90040-280 <br /> <br />RESIDENTIAL <br /> <br /> 815 8TH ST <br />usC~zCN~L E OR 9?325 <br /> <br />MAILING ADDRESS <br /> <br /> CONTRACT CITY <br /> <br />AUMSVILLE <br /> <br /> SUBDIVISION <br /> <br />UGB <br /> <br />NO <br /> <br />OCCUPANT I-QAD <br /> <br /> NO OF SEOHOOMS <br /> <br /> P.O. BOX 185 <br /> ,.SUBLIMITY, OR 97585 <br />LoCHONE= 769~o~4 <br /> <br />WIDTH DEPTH <br /> <br />99 <br /> <br /> SECTION TOWNSHIE <br /> <br /> AREA UNITS <br /> 25 <br /> <br />79" 6~41.00 <br /> <br />89 <br /> <br />CF- .... <br /> <br /> NUMBER.* zo ?208 <br />· ..T/ALUAT iON: NE MAP <br /> <br /> 2N RS 51 <br /> NO ' NO <br /> <br />TYPE: MECHANICAL, <br /> <br />CONTRACTOR, NO+ <br />TOM 0ORAN <br />PO 8OX 185 <br />SUBLIMITY 97385 <br />PHONE: 769-7364 <br /> <br /> PERMIT OR APPLICATION NO: <br /> <br />55493 <br /> <br /> ITEM <br />DOMESTIC RANGE HOOD <br />0OM EXHST FANS & DRYER VENTS <br />MECHANICAL SASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: TOM IX)RAN <br />RECEIVED BY: c1 <br /> <br />9015809 <br /> <br />QUANTITY AMOUNT <br />1 $4+5o <br />3 $9+00 <br /> $10.00 <br /> 3.84 <br /> 1.18 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br /> ZNVO[~E NO: <br /> TypE:: IN CHECK <br /> <br />$28.52 <br /> $0.00 <br />$25.37 <br /> <br />$3_15 <br /> <br />16798 <br /> 0 <br /> <br /> NOT APE IT THIS P T ON ST, GH A EV ESS [ddERE TH <br />ALL NECESSARY INFORtiATION ,HA~ BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY .......... DATE__ CITY JURISDICTION: 8Y ......... DATE <br /> <br />REMARKS: 1 UTILITY FAN, BATHROOM, DRYER <br /> <br />FO~M ~ Mc ,~,~ ,~v .,se OFFICE COPY <br /> <br /> <br />