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MARION COUNTY BUI!~DING 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 />read and agree to the forrns stated on the reverse side of <br /> <br />owf4~*~'t'E: 10/09/90 f'l~E: 12:04:3'f <br /> <br /> JAC~N, JOE B. & MiLDR~O <br /> <br /> 8601 HOMQUiSr RD <br />/~t,J ¢4E, V l LLE <br /> <br />OR 9'1~25 <br /> <br />:SE <br /> <br />MARION COUN [Y NO N,::, <br /> <br /> f-~.) BOX 1187 <br /> AU~ViLLE OR 9?325 <br /> PHONE; 749-222/ SITE NU~8~R; 4264 <br /> ~LUA f tON: <br />LOT BLOCK SECTION TOWNSHIP ' ZONE MAP <br /> <br /> 2V2 100 2?200. b¢ NO NO <br /> <br />!YP~: MOBILE HOME P~RMll OR APPLICAIION NO: <br /> <br />CONIRAC'f'OR. NO. <br />JACK,NON, JOE ~, ~ MILDRED <br />F.'O BOX 1187 <br />AU~¢VtLL~ OR 9?325 <br />pHr.,."N~: 749~2227 <br /> <br /> iTEM <br />~O~IL~ HOME BAE, E FEE <br />fvlOMILE HO~E SFAIE F~E <br />MO~iLE HF..~E ZONING SURCHARGE <br />FLEET ,~URF~Af;~;'GE -ZONE 3 <br />~BiLE H~E ~fAfg ~URCHA~E <br /> <br />27~59 <br /> <br />fOl'AL ASSE~ED FEES <br />PREY iOUS RECEIPTS <br />lHlS RECEI PI <br /> <br />QUANflIY <br /> <br />AMOUNI <br /> $89.25 <br /> <br /> $3.84 <br /> $5_25 <br /> <br />$119,34 <br />$~'19-34 <br /> <br />BALANCE DUE $0_00 <br /> <br />PAYEE: RE..CEiPT <br /> <br /> RECEIVED aY: CL .................................................... TYPE: CHECK ~: 9 <br /> <br />$ THIS IS A VALID PERf~IlT * THiS pgRIVllf EXPJRE.~ 180 DAYS RRO~4 iTS iSSUE DATE. iF <br />CONSTRUCTION CEA~E~ FOR A PERIOD OE 180 ~,OR iF ~8'FRUCI'I~ FA[~ TO MEET ALL <br />R~iR~T~ OF S'f'A'rE ~ ~D ~RI~ ~NTY BUILDING ~D Z~iNG ORD[N~C~, fH[S PE~iF <br />SHALL BEdE NULL ~D <br /> <br />5~faACKS: PR 20 LS 10 R'~ 10 RR 30 5P <br />f~bMARK~: MC~ILE HOC4E REPLACEMENl R~2905 ..... <br /> <br />PLANNING AC[iON: <br />DONAL0 g. WOODLEY, MARION ODUNfY 8UiLUING OPPICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />