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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97;301 <br /> '*PH OI'~E 688-5147 <br /> CODE-A-PHONE 4:;30 P,M. - 8;00 A,M. <br /> <br />[ have read and agree to the terms stated on the reverse side of <br />this dooumenf. <br /> <br />DATE: <br /> <br />o~¢~f'.~: 07/25/88 TIME: t :32: 14p <br /> <br /> LYCAN BARRY ~ <br />SlTtJ~ AODRE$$: <br /> <br />11733 NARSLER LANE NE <br />I AU~ OR 97002 <br />USE OF BU~LDIN{2: ................... <br /> <br />MAILING ADDRESS: <br /> <br />6845 SN NYBEG RD <br />TUAUALTIN, ORE <br /> <br />TAX LOT: <br /> <br />CONSf~UCT~O~ T"¢E: <br /> <br /> 8LOCK: i <br /> <br /> 20 33 ! 3S <br />:DEPTH: ; AREA: Il UNITS; <br /> <br />CENTURY .MEADO~I. J>AR~ ..,4TH ADD <br /> <br />SITE NUMBER: <br />~AkUATION= <br />,RANGE: <br /> <br />IRREG LOT: <br /> <br />4996 <br /> <br />TYPE: NOSILE HONE <br /> <br />CONTRACTOR, NO. 46901 <br />ABRAHAM FACTORY HONES INC/ TON <br />17303 SE IVlCLOUGHLIN BLVD <br />MIL~WUKIE, OREGON 97222 <br /> <br /> ~TEN <br />MOBILE HOME FI~T NID~ <br />~ILE H~ ADDTL. NIOTH <br /> <br />PERNIT OR APPLICATION NO; g009960 <br /> <br />QLIANTITY AMOUNT <br />1 $35,00 <br />~ $15.00 <br /> $2.50 <br /> $?.68 <br /> $2.50 <br /> <br /> ,;:"" :~': TOTAL ASSESSED FEES $62.68 <br /> ,, PREVIOUS RECEIPTS $0.00 <br /> ' ,' THIS RECEIPT $62.68 <br /> ' eALANOE DOE $0.00 <br />PAYEE.* ABRAHAN FACTORY HONES::INC? T°N RECEIPT NO: 10646 <br />RECEIVED BY: <br /> <br />* THIS 'rs NOT A PEI;~4IT. THIS ApPL.~CATION NUsT 60 THROUGH A REVIEW PROCESS ~ERE THE <br />FOLL~ING NUST BE O~PL~ED. iT: 1,.~ ;THE "R~I:I~I~IBILIT¥ OF THE .~PLI~4T TO ~URE THAT <br />ALL NECESSARY INFORMATION Hia~ BEEN: PEOVIDED. ' <br /> <br />PLAN REV'lEAl: 8Y DATE <br />SEPTIC: BY ............. DATE ,: __ CITY JURISDICTION: BY ........ DATE <br /> <br />P~N~N~ <br /> <br />OFFICE COPY <br /> <br /> <br />