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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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 />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />12/04/89 <br /> <br />DORAN, TOM <br /> <br />TIME: 14:32:06 <br /> <br /> 90040-860 <br /> <br />AUNSVILLE NO <br /> <br /> 895 8TH <br />AUNSVILLE <br /> <br />OR 9?326 <br /> <br />PO BOX 186 <br />SUBLIMITY OR 97386 <br />PHONE: 769-7364 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> <br /> DELMAR III <br /> <br />SITE NUMBER: <br />,~J_ ATION: <br /> <br />W~OTH23 DEPTH 5 AREA 25 UNITE 8S <br /> 74 100 7400. SF <br /> <br />IRREG LOT2w <br /> NO <br /> <br />CATEGORY <br /> <br /> RES I DENT I AL <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br /> 8927 <br /> MAP <br /> <br />CORNER ¢;~ 51 <br /> NO <br /> <br />TYPE: MECHANICAL PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 55493 <br />TOf,,100RAN <br />PO BOX 185 <br />SUBLIMITY 97385 <br />PHONE: 769-7364 <br /> <br /> ITEM <br />DOMESTIC RANGE ROOD <br />DOM EXHST FANS & DRYER VENTS <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />204?0 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AIv~AJNT <br />1 $4.50 <br />3 $9.00 <br /> $10.00 <br /> <br /> $1.18 <br /> <br />$28.52 <br />$28.52 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />INVOICE biO: <br />CHECK <br /> <br /> PAYEE: <br /> RECEIVED BY: P8 TYPE: 0 <br /> <br />* THIS IS A VALID PERMIT * THIS PE~;DIIT EXPIRES 180 BAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br /> THIS PERMIT <br /> ORDINANCES, <br /> OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING <br /> NULL AND VOID. <br /> <br />REMARKS: HD FN <br /> <br />DONALD E. WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />IOr~M ,¢ M( I: 4: HFv t~.U, OFFICE COPY <br /> <br /> <br />