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MARION COUNTY BUILDING INSPECTION <br />SENATOR SLOG. NO. 225 <br />220 HIGH STREET NE <br /> SALE~Vl, ORBGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am a registered builder OR the authorized reprosentatlve <br /> <br />SIGNATURE OF APPLICANT; <br /> OATE: <br /> <br />ow~TE: 01/22/91 <br /> <br />SITUS AODRES~l' ROSER'i" <br /> <br />TIME: <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYPE: <br /> <br /> 5932 ViLLAgE ViEW 60JR'r <br /> AUM~Vi LLE OR 97~25 <br />USE OF BUILDING: <br /> <br />SE <br /> <br />CONTRACT CITY: UGB: <br /> <br /> ~ SOX 1457 <br /> CEDAR CITY, UTAH 94?20 <br /> PHONE ~ 801-586-8081 <br /> <br />LOT: BLOCK: <br /> <br />SECTION: TOWNSHIP: <br />AREA: UNITS: <br /> <br />SITE NUMBER= 9985 <br />nAN~LUAT'iON:izONE: <br /> <br />2.5 <br /> <br />NO : NO <br /> <br />CATSGORY: <br /> <br /> RES i DEN 'l 1 A!L <br /> <br />i OCCUPANT LOAD: <br /> <br />MAP: <br /> <br />TYPE: IviO81LE HO~IE pERMI'r OR APPLICATION NOt <br /> <br />CONTRACTOR, NO. <br />DAHL, ROBERT <br />PO BOX 1457 <br />C~DAR CITY. UTAH 94720 <br />PHONE: 801-586-8081 <br /> <br /> I 'rE~ <br />MOBILE Hf.,~IE BA~E FEE <br />fflOBiLE HOf~E STATE FEE <br />MOBILE HQ'~IE Z~ING ~A~E <br />FLEET ~HA~E -Z~E 3 <br />~ILE H~E STATE <br /> <br />23510 <br /> <br />TOTAL A.SS~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTII'Y AMOUNf <br /> ~89.25 <br /> 15.75 <br /> $5.~5 <br /> ~3.84 <br /> 5.25 <br /> <br />$119.34 <br />$119~34 <br /> $o.oo <br /> <br />~ALANCE DUE $0+00 <br /> <br /> PAYEE: , RBCEiPI' <br /> RECEIVED BY: CL ................... .......................... TYPE: CHECK ~: 0 <br /> <br />* THIS 18 A VALID PERI, IT ~ ~HiS PEI~tIT EXPIRES 180 DAY~ FRO~I ITS I~E ~TE. <br />~ST~CTI~ C~ ~R A P~IOD ~ 180 ~,OR IF ~ST~CT[~ FAI~ fO REET ALL <br />R~[R~TS OF STATE ~ ~D ~R[~ ~N~ BUILD[~ ~D Z~IN8 O~IN~C~, ,THIS PE~IT <br /> <br />REf4,~.RKS:REPORD"OF UN:~E~EO:APp~CATJOR .... ....... <br /> <br />P~NiNO AC'¥1CN: <br />EONALO E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM # MC 15-56 REV. 4/90 OFFICE COPY <br /> <br /> <br />