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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-/~PHONE 4:30 P,M, - 8;OO A,M. <br /> <br />Iarn pedorrlling work on a prmperty I own mr occupy. <br />i am a registered builder OR ( the authorized representative SIGNATURE 0¢ APPLICANT: <br />of a registered builder, <br /> <br /> The work wm be performed by a registered builder. <br /> Other. <br /> I have read and agree to the terms stated on the reverse side of <br /> <br />DATE; 10/05/87 TIME: 10:05:26a <br /> <br /> BUTTEVZLLE COMN~JNITY CHUCH <br /> <br /> 10848 ARNOT RD <br />DONALD <br /> <br />USE OF BUILDING: <br /> <br />MAiLiNG ADDRESS: <br /> <br />10858 ARNDT RD NE <br />AURORA. OREGON 9?002 <br />PHONEt 878-1188 <br /> <br />TYPE; MOBILE HOME <br /> <br /> i TAX <br /> 70380-190 <br /> i CONSYFtUCTION TYPE: <br /> <br />OR 9?020 <br /> <br />CATEGORY; <br /> RES Z DEN T [ At., <br /> <br /> SITE NUMBER: 2718 <br /> VALUAT TON: <br /> <br /> : 32 : 3S 'IN ' AR" <br /> ' IRREG. LOT: NO <br /> <br />PERMIT OR APPLICATION NO: 9004??3 <br /> <br />MAR: <br /> <br /> 1 <br /> <br />QUANT ~ TY <br /> 1 <br /> <br />AMOUIq T <br /> $35,00 <br /> $~. 75 <br /> $o.oo <br /> $'7.68 <br /> $i, ?5 <br /> <br /> CONTRACTOR. NO_ <br /> BUTTEVILLE COMMUNITY CHUCH <br />~/10858 ARNBT RD NE <br /> AURORA. OREGON 9?002 <br /> PHONE~ 678~1189 <br /> <br /> TOTAL ASSE~SEBFEES <br /> PRE~IOUS RECEIPTS <br /> <br />';BALA~OEBUE <br /> <br /> ITEM <br />MOBILE HOME FIRST WIDTH <br />P~DBILE HOME ZONING SURCHARGE <br />MOa ILk HOME PLANS REVI~ FEE <br />FLEET SURCHARGE -ZONE 6 <br />MOBILE HOIvlE STATE SURCHARGE <br /> <br />$46.18 <br /> $o.00 <br />$46.1~ <br /> <br /> $0.00 <br /> <br />P, ,YEE: BUTFEVILLE COMMUNITY CHUCH:~'~"L ,/dP /) RECEIPT NO; 5,~,~,. <br />RECEIVED BY; dB ~~~ TYPE; CA 'CHECK ~: 8 <br /> <br />YOL~ING ~T B~ ~PL~ED. :IT I8 ~ R~IBIL'I~ff:' OP~ APPLI~T TO ~RE ~:~' <br />PLANNING ACTION; <br /> <br />rORM ,, ~C .,.~.~ ~ 6/e~ OFFICE COPY <br /> <br /> <br />