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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-A-PHONE 4;30 P.M, - 8:00 A.M. <br /> <br />Other <br /> <br />DATE: 06/0?/88 TIME: 2:34:56p <br /> <br /> CHAplNESKE, N-J- & GERTRUDE <br /> <br />CONSTRUCTfON TYPE: OCCUPANCY: <br /> <br />RESIDENTIAL <br /> <br /> 9684 SILVER FALLS Hi, Cf SE ............ <br />AUI'4SV I LLE OR 97325 <br /> i~a~R I ON COUN'P¢ <br /> <br />SAME <br /> <br />PHON <br /> <br /> SITE NUMBER: 4805 <br /> VALUATION: <br /> <br /> 18 ~ 6S 1N, ,AR8 ,i 46 <br />AREA~ UN'TS: IRREG, LOT: NO iCOR~EI~: <br /> <br />TYPE; MOBILE HOME PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 38228 <br />SANTIAM VALLEY HOMES <br />11373 ~ILLCREEK RD <br />AU~ViLLE OR 97325~/~ <br /> "/ <br /> <br /> ITEM <br />N~ILE HONE FIRST WIOTH <br />~08ILE HONE ADDTL. NIDTH <br />~08ILE HO~E ZONING ~HARGE <br />FLEET ~RCHARGE ~ZON~ ~ <br />~L~ HO~E ~TATE ~HARGE <br /> <br />9008950 <br /> <br />QUANTITY AMOUNT <br />1 $35.00 <br />1 $15.00 <br /> 52.50 <br /> $3.84 <br /> $2.50 <br /> <br /> TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br /> 8ALANCEDuE <br /> '. RECEIPT NO: <br /> TYPE: OK CHECK <br /> <br />$58.84 <br /> $o.oo <br />$58.84 <br /> <br />$0.00 <br /> <br />PAYEE: SANTIAN VALLEY HOM~ 9619 <br />RECEIVED BY: J8 .............................. :~ 8684 <br /> <br />~ THIS IS NOT A PER~IT. THIS APPLICATION MUST 60 THROUCN4 A REVIEW; P~OOBSS WHERE THE <br />FOLLONING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFOR~TION HAS BEEN PROVIDED. <br /> <br />,;EPTIC, 8Y___~;A T E _ _,~'~..~_ ~_ ~_. CZ TY/JURISD ICTION: BY ........ DATE <br /> <br />PLANNING ACTION; ~,..~...",.-~',~_ ~..~ <br /> <br />,<~,u ~ ~c ,~..'..e ~v. e/~'/ OFFICE COPY <br /> <br /> <br />