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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 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Olher~ <br /> <br />2/05/90 <br />OOR~N, T O~ <br /> <br />fiNE: 10:31:53 <br /> <br />9004t~47Q <br /> <br /> UGB <br /> <br /> NO <br /> <br /> 890 8tH <br /> AUI"ff'SV 1 LL E <br /> <br />USE OF BUILDING <br /> <br />OR 97:~25 <br /> <br /> CONTRACT CITY <br /> <br />AUI~SVt LLE <br /> <br /> BOX 185 <br />5UBLINJlY OR 97~85 <br />PHO~: <br /> <br />74 95 7030. 5P <br /> <br />CATEGORY <br /> RE~i DENT iAL <br />OCCUPANCY <br /> <br />DELJ'4AR ADDIIlON ~3 <br /> <br />Si 'fE NU~ER: <br />VALUA~' ION .* <br />RANGE ZONE <br /> <br />2W R5 <br />NO NO <br /> <br />MAp <br /> <br />TYPE: pLufFf8 lNG <br /> <br />PERMiI OR APPLiCAf'ION NO: <br /> <br />CONIPJNC[OR, NO. 28638 <br />f.G.NiO~OL PLUNBING, INC <br />P.O.BOX 155 <br />AUI~S¥1LLE, OR 97325 <br />PHON~: 749-2~71 <br /> <br />RESiD~I[IAL FIXTURE, N~ CONSt, <br />PLU~fJiNG BASE FEE <br />FL~Ef ~¢URCHARGE -ZONE 3 <br />PLU~ING STATE SURCHARGE <br /> <br />PAYEE: ff~ DORAN <br />RECeiVED DY: P8 <br /> <br />~029110 <br /> <br />f~UAN I ! if¥ AC4OUN [ <br /> 5 $54. ~J~ <br /> $20_ 00 <br /> $3_ 84 <br /> <br />TOTAL ~E*~J.SED <br />PREVIOUS RECEIP1S <br />THIS <br /> <br /> $o. ~o <br />$81.54 <br /> <br />BALANCE DUE $0.00 <br /> <br />INVOICE NO: 307~2 <br />TYPE= IN CHECK ~: 0 <br /> <br />* THiS IS NOI A PERMIT, THIS APPLIOATI~ f4JST 6~ THI~OUGH A RE¥IE¥~ PROC~ ~HERE 'THE <br />FOLLOI~ING f4usr BE C~:~IPLETEO. ~T ~S THE RESPONSiBiLITY OF THE APPLICaN~T TO ~RE THA~ <br />ALL NP_~E31,SA~Y iNFORMATION H~5 8EE..~ PRO'VIDEO. <br /> <br />PLAN REVJgN: ~Y <br />RET,IARKCS: 6 FIX <br /> <br />OAI'E, ..................... <br /> <br />CiTY JURISDICrION: BY <br /> <br />FORM # MC 15-56 REV 4/~0 OFFICE COPY <br /> <br /> <br />