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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:: 588-5147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other_ <br /> <br />ow.~'¥E: 04/01/91 riME: 14=18:48 <br /> <br /> MOORE. WESLEY <br />S~TUS ADDRESS <br /> <br />TAX LOT <br /> <br />CONSTRSDTION TYPE <br /> <br /> 2-05 b'VERGREEN DR <br />AUI~VI LLE <br /> <br />OR 9?325 <br /> <br />CONTRACT CITY UGB <br />'AU~VI LLLE <br /> <br />M&ILING ADDRESS MOBILE HOf4E <br /> <br />NO <br /> <br />~CATEGORY <br /> <br /> RESIDENII~iL <br /> OCCUPANCY <br /> <br />iODOUPANT lO~b-3 <br /> <br /> NO OF 8EO~00MS <br /> <br /> PHONE: <br /> <br />LOT <br /> <br />WIOTH <br /> <br />BLOCK SECTION , TOWNSB <br />DEPTH AREA UNITS <br /> <br />SiTE NUf~ER: <br /> VALUAT 10~4;, <br /> <br />11801 <br /> <br />NO NO <br /> <br />MAp <br /> <br />[YPE; MOBILE HCIME <br /> <br />CONrRACIOR, NO. 43465 <br />808"S ¢408iLE SET UP <br />14282 S. MAPLEGROVE <br />MOLLALA, OREGON <br />PHONE: 829-8983 <br /> <br />PERMIT OR APPLICATION NO: 9031266 <br /> <br />MOBILE HONE BASE FEE <br />MfJEILE HON~ 8'TALE FEE <br />MOBILE HONE SI'AT~ ~SURCHARGE <br /> <br />PAYEE; IMOORE, WBLE"( <br /> <br />1OTAL AS.S~ED <br />PREViOJS R~OEiP'TS <br />THiS RECEIPT <br /> <br />OUAN11 TY <br /> <br />¢89.25 <br />15.75 <br /> <br />$1t0.25 <br /> $o.oo <br />$~10.25 <br /> <br />BALANCE DUE $0.00 <br /> <br />INVOICE 33016 <br /> <br /> RECEIVED BY; c'l TYPE** IN CHEY.7,K ~.* 0 <br /> ~ THiS IS NOT A PERNIiT. THIS AP~I~TI~ ~Bf ~ ~ A RBIB P~ ~BE THE <br />~L~I~ ~ST BE ~T~. IT 15 ~E R~IBILITY OF THE AP~i~T TO ~ THAT <br /> <br /> SEPTIC; ~Y ~IE, Oily JURISOICilQN: BY DAlE <br /> <br /> Z~iNG: BY DAFE SETBACKS; FR 10 LS 25 ~ 10 RR lO SP <br /> RE~R~: ~ -P~CE~EN f <br /> <br />PLANNING ACTION: <br /> <br />FOnM ~ aC ~-S~ ReV 4mo OFFICE COPY <br /> <br /> <br />