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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO,, 225 <br />220 HIGH STREET NE <br /> SALEMi OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 430 PM - 800 AM <br /> <br />ow~TE = 09/29/89 TINE: 3:49=27p <br /> <br /> TON DORAN CONSTRUCTION <br /> <br />TAX LOT <br /> <br />CONSTRUCTLON TYPE <br /> <br />90061-311 <br /> <br />R~IDENTIAL <br /> <br /> 995 HAZEL ST <br />AU~SVI LLE <br /> <br />OR 97325 <br /> <br /> CONTRACT CITY <br /> <br />AU~4SVILLE <br /> <br />UGB <br /> <br />NO <br /> <br />PO 80X 185 <br />SUBLIMITY OR 97385 <br />PHONE: ?69-7364 <br /> <br />SUBDIVISION <br /> <br />SITE NU~ER.* <br /> VALUATION <br /> <br />845? <br /> <br />MAP <br /> <br />¢4U/H 5 DFPTH 4 AREA <br /> 64 80 <br /> <br />8S <br /> <br />SF <br /> <br />IRR~Cj LOT ~W CORNER ~ <br /> Y~ YES <br /> <br />51 <br /> <br />TYPE: NECHAJ~ICAL PERr4IT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 55493 <br />TON DOlmeN <br />PO BOX 185 <br />SUBLIMITY 97385 <br />PHONE: 769-7364 <br /> <br /> ITEM <br />DONESTIC RANGE HOOD <br />~ EXHST FANS & DRYER VENTS <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />NECHANICAL STATE SURCHARGE <br /> <br />19189 <br /> <br />TOTAL ASS~ED FEES <br />PREVIOUS RECEIPTS <br />TBIS RECEIPT <br /> <br />QOANTITY AIV~UNT <br />I $4+50 <br />4 $12.00 <br /> $10.00 <br /> ~3.84 <br /> 1.33 <br /> <br />[31.67 <br /> 31.87 <br /> $o.oo <br /> <br />BALANCE BLIE $0.00 <br /> <br />PAYEE: INVOICE NO: <br /> <br />RECEIVED BY~ 1>8 . TYPE: CHECK ~: <br /> <br />~ THIS IS A VALID PEE~4IT * THIS PER~4IT EXPIRES 180 DAR FE0~l ITS ISE~JE DATE. IF <br />CONSTRUCTION C~B5 FOR A PERIOD OF 180 OAYS, OR IF COI~STEUCTION FAIL~ TO NEET ALL <br />REtIREmENTS OF STATE I_NAIS AND I~IARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PEEMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />RE,lARK,S: HD FN <br />DONALD E. NOODLE'Y, MARION COUNTY BUILDING OFFICIAL / BY .... ~'/,~1~ <br /> <br />FORM * MC Ibbl5 REV II.UU OFFICE COPY <br /> <br /> <br />