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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 888-8147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />I am performing wOrk on aproperty I own or occupy. <br />I am a registered builder OR ( ) the authorized representative <br />of a registered builder. <br />The work will be performed by a registered builder. <br />Other <br /> <br />DATE: 04/26/90 TIME: 9:01:18 <br /> DAHL,. ROBERT <br /> <br />$~GNATURE OF APPLICANT: <br /> <br /> DATE: <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYP~: <br /> <br />CATEGORYI <br /> <br />OCCUPANCY: <br /> <br /> 5932 VILLAGE VIEW COURT <br />AU~CSVILLE OR 9?325 <br /> <br />PO BOX 1457 <br />CEDAR CITY, UTAH 94720 <br />PHONE: 801-586-8081 <br /> <br />SE <br /> <br />WIDTH: DEPTH: AREA: UNIT~ <br /> 5 <br /> <br />CONTRACT CITY: UGS: <br />MARION COUNTY NO <br /> <br />SUBE)IVISION: <br /> <br />VILLAGE VIEW <br /> <br /> SITE NU~ER: 9985 <br /> VALUATION: <br /> <br />AC NO NO <br /> <br />RESIDENTIAi <br /> <br />OCCUPANT LOAD: <br /> <br /> 2 <br /> <br />MAP: <br /> <br />TYPE: MOBILE HONE PERhlIT OR APPLICATION NO; 9023510 <br /> <br />CONTRACTOR, NO. <br />DN'~L. ROBERT <br />PO BOX 1457 <br />CEDAR CITY. UTAH 94?20 <br />PHONE: 801.-586-8081 <br /> <br /> ITER <br />MOBILE HONE SASE FEE <br />MOBILE HOME STATE FEE <br />MOBILE HONE ZONING :.SURCHARGE <br />FLEET SURCHARGE -ZONE 3 <br />MOBILE HONE STATE SURCHARGE <br /> <br />QUANTITY <br /> <br />ARQUNT <br /> $89.25 <br /> <br /> $5.25 <br /> ~3.84 <br /> 5.25 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />tHIS RECEIPT <br /> <br />$119.34 <br /> $0.00 <br />$119.34 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: OANL, ROBERT RECEIPT 24931 <br /> RECEIVED BY: PS TYPE:. CK CHECK ~: 0 <br /> <br />~ING ~ST BE IlEIW 'OF' ~E APPLI~T TO ~RE ~AT <br /> <br /> CITY JURISDICTION = <br /> SEPTIC: BY DATE BY DATE <br /> <br /> ZONING: BY DATE SETBACk: FR ~ RS RR SP ........ <br /> RE~ARKS: REPE~CE--~ILE RO~E ............. ~3300 .................................................... <br /> <br />PLANNING ACTION: <br /> <br />~o,~A ~ MC ~S-Se REV ,/~ OFFICE COPY <br /> <br /> <br />