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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 8:00 - 4:30 <br />24 HOUR CODE-A:PHONE: 588-7904 <br /> <br />of a registered builder, <br />The work will be performed by a registered builder, <br />Other, ,, <br /> <br /> DATE: 81120194 TIME: 8:01:41 <br /> <br /> NICHOL PLUMBING <br /> <br /> AUHSVILLE OR 97325 <br /> ................ 7 T ................... ...... -I <br /> <br /> PHONE: ~ VALUATION: <br /> <br /> / r ................... <br /> ~ 7~-~-~ ~ ....... ,,~. ~o~,. ~o~,. <br /> <br />TYPE: ~EC~NIC6L PE~IT OR ~P~I~TION ~: 52424 <br /> <br />CONTRACTOR, NO. 28&~8 <br />T 6 Nichol Plumbing <br />PO Box <br />A~msv~lle, <br />PWONE. 74~-2871 <br /> <br /> ITEM <br />6AS CONNECTION <br />MECHANICAL BASE FEE <br />MECHANICAL STATE <br /> <br />PAYEE: T G Nic <br />RECEIVED BY: <br /> <br />CONSTRUCT[ON <br /> EGU[RENEI,ffSOF <br /> ALL BECONE NULL ANDI <br /> <br />REMARKS: GL <br /> <br /> QUANTITY AMOUNT <br /> 1 $2.88 <br /> $10.~0 <br /> $0.60 <br /> <br /> $12.68 <br /> $0.80 <br /> $12.60 <br /> <br /> $0.00 <br /> <br /> INVOIC~ N0: 54876 <br />TYPE~ CK CHECK ~ 5072 <br /> ITS ISSUE ])ATE. IF <br /> ~lkS TO NEET <br /> ~[I~NCES, THIS PERNZT <br /> <br />DONALD E. WOODLEY, MAR'roB COUNTY BO~EQi~Q':':;QFFt;CtAL :/::::~¥ <br /> <br />PORM ~ MC ?5-si ney, ~ OFFICE COPY <br /> <br /> <br />