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MARION COUNTY <br /> BUILDING INSPECTION <br />Senator Building * 220 High Street NE * Second Floor ,, Salem, Oregon 97301-3670 <br /> <br /> Office Hours: 8:00 -4:30 Phone: 588-5147 Code-A-Phone: 4:30 p.rn. - 8:00 a.m. <br /> <br />DATE: 0?/28/88 <br /> LANE, JACK <br /> <br />TIME: 2:32:54p <br /> <br />RESIDENTIAL <br /> <br /> 6104 SHAN LANE SE <br />ALIMSVILLE OR 97325 ~ HARION COUNTY NO <br /> <br />PHONE: 749-2941 SITE NU~4BER: <br /> VALUAT I ON: <br /> <br />5027 <br /> <br />175 748 <br /> <br /> 24 8S 2N <br />130900. S? NO <br /> <br /> AR3 <br /> <br />NO <br /> <br />51 <br /> <br />TYPE: fc~38ILE HC~4E PER"~4IT OR APPLICATION NO: <br /> <br />C3NTR&CTQ~, ,40. 38238 - ~(2~// <br />SANTZA~I VALLEY HOMES ~,~/ <br />11373 MIL&CREEK RD SE /3~" <br />AU~ISV;[LLE OR 9?325 ~/ <br />PHmZ= .... ~/' <br /> TTEM <br />MOBILE HOM~ F~T N~DTH <br />~L~ HO~E ADDTL+ N~DTH <br />N~LE HO~ Z~NG ~JRCHA~E <br />FLEET SURCHARG~ -Z~ 3 <br />NOS~LE HO~ STATE SURCHA~E <br /> <br />9010055 <br /> <br />TOTAL A~ESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY A~OUNT <br />1 $35.00 <br />1 $15.00 <br /> $2.50 <br /> ~3.84 <br /> 2.50 <br /> <br />$58.84 <br /> $0.00 <br />$59.84 <br /> <br />¢ (% SAL~NCS DUE $0.00 <br />PAYEE: ,%ANTIA~ VALLE*¢ HOf~E~ ~"~Q..,_, RECEIPT NO: 10741 <br />RECEIVED BY. BM __~¢~...__~' TYPE CK CHECK ~ 8924 <br /> <br />~o~ ~ST .~ ~. ~ zs T~ ~S~e~ O~ ~ ***~T TO ~ ~T <br />ALL NEC~ INFO~I~ H~ BE~ P~VIDED. <br /> <br />PLAN R~IEW: 8 ___ DATE_ _ <br />SEPTIC: 8Y___~_~__~_%__.~ DATE ~:~ CITY JURZSDZOT;ON: BY ......... DATE .......... <br /> <br />REI~ARKS= ~O HO~E REPLACING RES R~4223 <br />PLANNING ACTION: <br /> <br /> <br />