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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 RM. - 8:00 A,M, <br /> <br />I am performing work Orl aproperty I own or occupy <br />t am a registered builder OR the authorized rep esen a ye <br />of a registered builder. <br />The work win be portormed by a registered builder. <br />Other <br />~ have read and agree to the terms stated on the reverse side of <br />this document. <br /> <br />SIGNAYURE OF APPLICANT: ._. <br /> <br />ow~ATE t 08/22/89 <br /> <br /> DORAN, TOM <br />SITUS ADDRESS: <br /> <br />TIME: 2:34:38p <br /> <br />9006'1-171 <br /> <br />RES I DEN'F l AL <br /> <br /> 9!5 CHERYL <br /> ,AU ~"NSV I LLE <br />USE dY BUILDING; <br /> <br />OR 97325 <br /> <br /> CONTRAC~ DJ~; <br /> <br />AU~ISV'f LLE <br /> <br />NO <br /> <br />OOOUPANT LOAD: <br /> <br /> NO. OF BEDROOMS: <br /> <br /> PO 8OX t85 <br /> SUBLIMITY OR 9?385 <br /> PHONE~ ?69-?364 <br />LOT: BLOCK: <br /> <br />SECTION: <br /> <br />TOWNSHIP: <br /> <br /> GiLOO~ II <br /> <br /> SiTE NUMBER: <br />RANG~ALUATION:zoNE: <br /> <br />8'186 <br /> <br /> MAP: <br /> <br />WIDTH 1 DEPTH: 8 AREA: 25 UNITS; <br /> 83 9? <br /> <br />88 IRRBG~T; 2W CORNER: RS <br />SF YES NO <br /> <br />51 <br /> <br />TYPE: PLUMBING <br /> <br />CONTRACTOR, NO. 3'!2 <br />ENERY & SONS CONST. <br />PO BOX 398 <br />STAYTON. ORE 9?383 <br />PHONE: 769-7751 <br /> <br /> ITEM <br />~ATER LINES. 1ST 100 FEET <br />5ENER LINES, 1ST 100 FEET <br />FLEE'F SURCHARGE -ZONE 3 <br />PLUMBING STATE SURCHARGE <br /> <br />PERMIT OR APPLICATION NO: 9018340 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br />'i $20_00 <br />1 $30,00 <br /> $3.84 <br /> $8.59 <br /> <br />$58,34 <br /> $0.00 <br />$55,84 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: TOM DORAN ,~ INVOICE NO* '19454 <br /> RECEIVED aY: P8 ,~.__....,,' TYPE; IN CHECK ,I~: 0 <br />........................... :=="-"'_.-=~;=~,~.e.~=,~.~=_ , ~ , _~'. ....· <br /> <br /> ;O~ NOT A PE~ZT. ~2~,:;~P~L~T~',,~ST ~ ~'~'A,'R~Z~-~-~;~-~ ......... <br /> ALL <br /> ~TZ~ ,H~ BE~ P~DED. <br /> <br />PLAN REVIEN= BY :)ATE <br />REMARKS: NATE~R/SENER LINES <br /> <br />3ITY JURISDICTION: BY ........ DATE ......... <br /> <br />FORM # MC 1~,~6 "EV 11/68 OFFICE COPY <br /> <br /> <br />