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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG NO, 225 <br /> 890 HiGH STREET NE <br /> ' .' SALEM, OREGON 97301 <br /> <br /> ~ PHONE 588-5147 <br /> ~ODE-A-PHONE4,3OPM -800AM L ~'~ <br /> J am Cerforming work on a property I own or Occupy ~~ <br /> DATE: 05/08/89 TI~: ~:20:15o <br /> <br /> PETE~, THEO~RE ~, RESIDENT ~AL <br />8~TUS ADDRESS ~ 0ONSTRUCTION T~PE OCCUPANC¢ <br /> <br /> 911 ? SILVER FAL~ H~ SE CONT,*CT C~¢ U68 OCCU~*,~ LO*D <br /> AU~VZ LLE OR 9?325 <br /> ~RI~ C~NTY NO <br /> <br />PHONE*. 262,-1555 SITE NUN~ER: 7188 <br /> VALUATION: <br /> <br />NO NO <br /> <br />TYPE: MOBIL~ HOME <br /> <br />CONTRACTOR, NO. 14876 <br />WESTERN LIVING <br />4835 PORTLAND ROAD NE <br />SALE:N, OREGON 97305 <br />PHONE; 393-7253 <br /> <br />PERMIT OR APPLICATION NO: 9015741 <br /> <br /> ITEM <br />D~)8ILE HOME FIRST WIDTH <br />MOBILE HOME ADDTL. WIDTH <br />MOBILE HONE ZONING ,~JRCHARGE <br />FLEET SURCHARGE -ZONE 3 <br />MC~ILE HOME STATE SURCHARGE <br /> <br />PAYEE: GRISWOLD, ~RY P <br /> <br />TOTAL ASSESSED FEES <br />P~VI~$ RECEIPTS <br />THIS RECEIPT <br /> <br />(~JANTITY AMOUNT <br />1 $70.00 <br />I $30,00 <br /> <br /> $3.84 <br /> $5.00 <br /> <br />$113.84 <br /> SO.DO <br />$113.84 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: 16733 <br /> <br />RECEIVED BY: CL TYPB: .CK CHECK ~ 128 <br /> <br />* 'PHIS IS NOT A PE~IT. ll4IS:JNP,P, LICAT~ION ,t4J~T: :~0 THROU~'I <br />FOXING ~T BE ~. IT IS ~E, ~SISiLI~ OF SE APPLI~T TO ~ ~T <br /> <br />ZONING: BY <br />RE~R~; ~ FOR HAR~IP ~,0~5 <br /> <br />~on,~ ~, MC ~5~8 ~E~ '~'8~ OFFiCF_ COPY <br /> <br /> <br />