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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO, 225 <br /> ? "~ 220 HrGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:80 <br />24. HOUR CODE-A-PHONE: 588-7904 <br /> <br />of m registere¢ builder, <br /> <br />Other <br /> <br /> OA'I'E: 02/22/91 TIME: 11:20:03 <br />OWNER <br /> FF.~Y~ INN i S ,, BA f~3ARA <br /> <br />TAX LOT ....................... b/~d~¥ <br /> RES l OEN f' I AL <br />CONSTRUCf'I~I~ '¥~¥~ ............... ~0 ~ ~ ........ <br /> <br /> 8582 LITTLE RD <br /> AUI',~Vi LLE OR 97325 <br /> <br />USE OF ~UILDING'. <br /> <br />MAILING ADDRESS: <br /> <br />CONTRACT <br />~IARi ON OOUNTY NO <br /> <br /> SueuuwslO& ...................................... 2.. <br /> <br />w~l'4H O~NED BY KAIHLEbJ'~ COOPER'wo~ <br />5948 STAY'tON RD 8~, rU~ER 97392 <br />~g: 749-2098 <br /> <br />TOWNSHIP: <br />UNITS: <br /> <br />SITE NUI~:3ER: 5?97 <br />VALUAT iON .* <br /> <br />RR'G-'F6~'-'--';~' t~5~1 ..... : .......................... <br />NO <br /> <br />TYPE: MOBILE HOC4E PERt, lIT OR APPLICATION NO: <br /> <br />CONTRAC'f'OR, NO, <br />IVlC~INN 1S, BARBARA <br />~ O~NED BY KAI'HLEEN G'[YOPFR~'~ <br />5948 .STAYTON RD SE, 'I.UI:~NER 9739 <br />PHONE: 749~2098 <br /> <br /> iTEM <br />r,,1OBiLIE HOME ADDTL. 5AJRCHARGES <br />MO~iLE HOME STORAGE FEE <br /> <br />PAYEE: <br /> <br />30277 <br /> <br />'rO'fAL ~E31:SEO ¢EEE, <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />DLIANI'~Ty AIvIOUN'I <br /> $1.25 <br /> 1 $25.00 <br /> <br />25.25 <br /> <br />BALANCE [XJE $0.00 <br /> <br />RE-CE ! PT <br /> <br /> RECEIVED ~Y: c"l 'I'YPE~ CHECK ~: 0 <br /> <br />* THI~ I~A VALID PER~41T ~ THIS PEI;~IlT EXPIRES 180'DAY~ FROM l~ I~E ~TE. IF <br />~ST~CTI~ C~ ~R A PERIOD OF 180 DA~.OR IF ~T~CTI~ FAI~ TO ~EET ALL <br />R~IR~TS OF STATE ~ ~D ~I~ ~NTY BUILDING ~D Z~ING O~[N~C~. THi~ PE~iT <br />~ALL B~E NULL ~D ~lO. <br /> <br />5E'I'BACK~ FR 20 LS 10 R".5 10 RR 30 SP <br />RfrS~IAR~: fVlH STORAGE R~$884 .................. ~_*~8 u~e a¢~Pove~ ~apprctv~d for storage <br /> <br />~ALO E- ~DLEY, MARI~ ~NTY BUILDING OFFICIAL ./ BY .... <br /> <br />FORM # MS ~-56 REV. 4/90 OFFICE COPY <br /> <br /> <br />