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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:: 588-5147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />of a registered builder, <br />The wock will be performed by a registered buflder <br />OtheL <br /> <br /> gAl'E: 10/18/90 ril~E: 14:26:34 <br />OWNER K J, k['~,)¥ ' ~ I'flANU FACl URED <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />TAX LOT CATEGORY <br /> <br />RES f DEN f i AL <br /> <br />SITUS ADDRESS <br /> <br /> AU R'ORA <br /> <br />USE OF BUILDING <br />MAILING AOD~ESS <br /> <br /> CONSTRUCTION TYPE <br /> <br /> NE <br />OR 9"t'002 CONTRACT CITY UGB <br /> MARION COUN [Y NO <br /> <br />OCCUPANCY <br /> <br />OCCUPANT / CAD <br /> <br />CENfURY MEADOWS PH 4 <br /> <br />~I'IE NuMBaR: <br /> VALUA f i ON: <br /> <br />t 14. ? '! <br /> <br />LOT <br /> <br />WIDTH <br /> <br />23 <br /> <br />TOWNSHIP RANGE ZONE MAp <br /> <br />UNITS IRR~G LOT <br /> <br />NO CDR'red <br /> <br />'f YP~.: PLUIV~ i NG <br /> <br />IDEFa'Ql'f' OR APPLICATION NO: <br /> <br />CONIRACIOR, NO. 4907 <br />KiLROYS IWOt~iLE HOME <br />2230 NO PACIFIC HWY <br />NOOOBURN, ORf;;G~N 97071 <br />~ONE: 3'/1-E820 <br /> <br />WAFER LiN~, 1ST 100 FEET <br />SEWER LINES, 1SI 100 FEE]' <br />MOBILE HOME SEWER AND WAF£R CONNECIiON <br />FLEE1 SURCHARGE -ZONE 6 <br />PLUmiNG SfA'FE <br /> <br />PAYEg: <br /> <br />28038 <br /> <br />fOTAL k,,SSESSED FEB <br />PReViOUS RECEIPTS <br />THIS REC£IPr <br /> <br />QUANflJY AMQUNf <br />1 $20.00 <br />~ ~3o_oo <br />~ $25.00 <br /> <br /> $3.V5 <br /> <br />SALANCE DUE <br /> <br /> REC~IVEO ~Y: CL FYPE: CHECK ~: 0 <br /> <br /> ~ THIS IS A VALid PER~IT ~ THIS PERMIT lig(PIRE.~ 180 DAY'~ EROI~ i~E DATE. JF <br />CONSTRUC'T~ON C.EA~ES FOR A PERtOD OF 180 DAY'~, OR I~CONSTRUOTION FAIL8 1'0 MEET ALL <br />RE.(~JIREM~Nf~ OF STATE LAW~ AND ~ARiON C(3JNTY BUILDING AND ZONING ORDINANCES, 'THIS PERDIlT <br />,SHALL BECOME NULL AND VOiD. <br /> <br />REMARKS: NH CON WL, SL R04200 <br /> <br />~NALD E. WOODLEY, MARION COUNfY BUILDING OFFICIAL. / BY <br /> <br /> OFFICE COP~'. <br />FORM # MC 15-§6 REV 41~0 <br /> <br /> <br />