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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />22.9 HIGI~ 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 />I am performing work on a property I own or occupy. <br />I am a registered builder OR the 8uthorized repfesentBtive SIGNATURE OF ARRLIOAN <br />of a registered builder, <br />The work will be performed by a registered builder. <br />Other <br />I have read and agree to the terms stated on the reverse side of DATE: <br /> <br />OWN~ArE: 05/15/90 <br /> <br />smJs ^DD~ES."CSCHU EN l NG, <br /> <br /> 'TIME: 15:42:30 <br />iVAN <br /> <br />2035? HIGHWAY 99E <br /> <br />MAILING ADDRESS: <br /> <br />TAX LOT: <br /> <br />CATEGORY: <br /> <br /> i CONSTRUCTION TYPE; OCCUPANCY: <br /> <br /> ~ CONTRARY CITY; I SGB: <br /> NE ~ <br />6~-- '-97'00~ ............... ~ .................. <br /> MARION CC~NI'Y NO <br /> <br /> SUBDIVISION: <br /> <br />RES i DEN Ti AL <br /> <br /> SAM£ <br /> <br /> PHONE; <br />LOT: BLOCS: <br /> <br />WISTH: DEPTH: <br /> <br /> : 8iIE NUMBER: 3821 <br />SECTION: TOWNSHfP; ' RAN~ALUA']-I(]¢4 .' ZONE: MAP: <br /> <br /> 1 N EFU 5 <br /> <br />TYPE: fcDBILE HOME PERMIT OR APPLiCATiON NO; <br /> <br />C~N'f'RAC'FOR, NO. 14922 <br />CENTRAL OREGON ~B]LE <br />285 SO.PACIFIC HIGHNAY <br />~3008URN. OREGON 97071 <br />PHONE: 981-3141 <br /> <br /> IfEM <br />MOBILE HONE BASE FEE <br />MOBILE HOME STATE FEE <br />MOBILE HONE ZONING ~;~URCHARGE <br />FLEEF SURCHARGE -ZONE 6 <br />tvlOBiLE HOME STATE ~JRCHARGE <br /> <br />9024071 <br /> <br />'FHi8 RECEIPT <br /> <br />AIYE)UNT <br /> $89.25 <br /> $15,75 <br /> $5.2s <br /> $7.58 <br /> $5.25 <br /> <br />$123.~8 <br /> $0.oo <br />$123.18 <br /> <br />BALANCE DUE $0,00 <br /> <br /> PAY~: ~CHUPDNiNG. iV~JN <br /> RECEiVEO BY: F~ FYPE: CK CHECK ~- ?42 <br /> <br />~ THiS IS NOT A PER~IT. THI~ APPLICATION MU~T ~OTHROU~HAREVIE~ PI~OCEE~ ~ERE THE <br />~JN~ ~T BE ~T~.' IT I~ ~E R~iBILiTY OF THE A~LI~T TO ~RE THAT <br />ALL N~ IN~TI~ H~ <br /> <br /> REMARKS: ~I'EE"H~E PLACERENT""~2029 <br /> <br /> CII'Y JURISDICTION: BY OA'I'E <br /> <br />FR .,. ,.N.~..~ LS.... ,..(,~ .... RS.._....1.~. RR.~,~ ....... SP ............. <br /> <br />PLANNING ACT[ON: Cugo-28 <br /> <br /> OFF[CE COPY <br />BORM # MC 15-5~ REV, 4/3~) <br /> <br /> <br />