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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 />09/29/89 TIME: 3:48:48p <br /> <br />TON DOR.N~ CONSTRUCTION <br /> <br />90061-311 <br /> <br />OCCUPANCY <br /> <br />RESIDENTIAL <br /> <br /> 995 HAZEL ST <br /> AU~SVI LLE <br /> <br />USb OF BUff_DING <br /> <br />OR 97325 <br /> <br /> CONTRACT CITY <br /> <br />AUMSVILLE <br /> <br />UGB <br /> <br />NO <br /> <br />PO BOX 185 <br />SUBLINITY OR 97385 <br />PHONE: 769-?364 <br /> <br />LOT 8L.OCK SBCTION <br /> <br />SUBDIVISION <br /> <br /> GILEC~ g2 <br /> <br />SITE NURBER.+ 8457 <br />VALUAT ION: <br /> <br /> 5 4 <br />V~IDTH DEPTH AREA <br /> <br /> 64 80 <br /> <br />28 <br /> <br />8S <br /> <br />SF <br /> <br />2W RS 51 <br />YES YES <br /> <br />TYPE: PLUNBING <br /> <br />PEENIT OR APPLICATION NO: <br /> <br />19187 <br /> <br />CONTRACTOR, NO. 36198 <br />TON DORAN <br />PO BOX 185 <br />E~JBLIMITY 97385 <br />PHONE: 769-7364 <br /> <br /> ITEN <br />WATER LINES, 1ST 100 FEET <br />SEWER LINES, 1ST 100 FEET <br />FLEET SURCHARGE -ZONE 3 <br />PLUhl~ING STATE SURCHARGE <br /> <br />Q~JANTITY ~NvIOUNT <br />1 $20.00 <br />1 $30.00 <br /> $3.84 <br /> $2.50 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEf PT <br /> <br />~56.34 <br /> 56.34 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE; INVOICE NO: <br />RECEIVED BY: P~ TYPE: ONECK ~: <br /> <br />* THIS IS A VALID PER,lIT ~ THIS PER,lIT EXPIRES 180 DAY~ FROi~i ITS I,%SUE DATE. IF <br />CONSTEUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO NEET ALL <br />REqUIREmENTS OF STATE [.AJ~ANDIV~RION COJNTYBUILDINGAND ZONING ORDINANCES, THIS PERNIT <br />SHALL 8ECO~IE NULL ANDVOID. <br /> <br />R~NARK~: WATER/SEWER <br />DONALD E. NOODLE"Y, I~RION COUNTY BUILDING OFFICIAL / BY ~_~_ ..................... <br /> <br />fORM ~M{, 15-:~5 .EV I1'~ OFFICE COPY <br /> <br /> <br />