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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 AM, <br /> <br />Other ..... <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />d;;~l~: 11/28/89 <br /> <br /> BORAN, TON <br />SITUS ADDRESS <br /> <br />TIME: 11:13:11 <br /> <br /> TAX LOI <br /> <br /> 90040~360 <br /> CONSTP UCT~ON TYPE <br /> <br /> CONTRACT CITY UGB <br /> <br />AuMSVILLE NO <br /> <br /> 895 8TH <br /> AUIvlSVILLE <br />USE OF BUILDING <br /> <br />OR 97225 <br /> <br />SUBDTVISION <br /> <br />FO 8OX 185 <br />SUBLIMITY OR 97385 <br />PHONE: 789-7364 <br /> <br />L CT BLOCK SECTION TOWNSHIP <br /> <br /> DELMAR III <br />SITE NUMBER: <br /> <br /> DEPTH 5 <br /> <br />?4 100 <br /> <br />AREA 25 UNITS 8S ,RREG LOT~N <br /> 7400. SF NO <br /> <br />CATEGORY <br /> <br /> RESIDENTIAL <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br /> 8927 <br /> <br /> ZONS MAP <br /> <br />CORNER ~ 51 <br /> NO <br /> <br />TYPE: PLUMBING <br /> <br />PERMIT OR APPLICATION NOt <br /> <br />CONTRACTOR, NO. 44551 <br />D~AIN BETHEL & SONS EXO <br />P.O. BOX 504 <br />TURNER OR 9?392 <br />PHONE: ?43-2343 <br /> <br /> ITEM <br />NATER LINES, 1ST 100 FEET <br />SENER LINE, S, 1ST 100 FEET <br />FLEET SU/~..HARGE -ZONE 3 <br />PLUN~ING STATE SURCHARGE <br /> <br />PAYEE: TON [:)OR. AN <br />RECEIVED BY: P9 <br /> <br />* lliIS IS NOT A PEB,1IT. <br /> <br />9020489 <br /> <br />OU~C4TITY AMOUNT <br />1 $2o.oo <br />1 $30-00 <br /> ~3.84 <br /> 2.50 <br /> <br />TOTAL A,SSF_.,SSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$56,34 <br /> $o.oo <br />$56.34 <br /> <br />BALANCE DUE $0.00 <br /> <br />INVOICE NO: 21 ?22 <br />TYPE., IN CHECK ~: 0 <br /> <br />THIG APPLICATION I~JST ~O THROU(~H A REVIEW PROCEE~ AHERE THE <br /> <br />FOLLONf~ MUST BE COf&OLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NEOESE, ARY INFOrmATION HAS SEEN PROVIDED. <br /> <br />PLAN REVIEW: BY .......... DATE__ <br />RENARKS: NATER/SB4ER LINES <br /> <br />CITY JURISDICTION: BY <br /> <br />DATE <br /> <br />OFFICE COPY <br /> <br /> <br />