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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 /> 230 EYERGRI~N OR <br />AUMbVI LL~- <br /> <br />OR 97325 <br /> <br />AUIvfsvI LLE NO <br /> <br />M~H. INC ADDRESS RE~iL)EN1 iAL <br /> <br />R~ 1 D~N f i AL_ <br /> <br />P~VERf¢RE~ t~Ot~lLE HOME. PARK <br /> <br /> 4305 GARY SI <br /> KE~ZER, OR 9?303 <br /> PHONEt 390~2~6'? SiTE NUM~3ER: <br /> VALUAIJON¢ <br />LO~ BLOCK SECtiON TOWNSHIP <br /> <br /> 55 92 5060. SF NO ! NO <br /> <br /> 1161a <br /> $1,000.00 <br />ZONE , Map <br /> <br />I'YPE~ 8U[LD[NG PERMIT OR APPLiQAF[ON NOt <br /> <br />CON rI~cfoR, NO. 14922 <br />CENIRAL OREGON MO~ILE <br />285 SO.PACIF~O HIGHIA/AY <br />NOO0tgUP-N, OREJ.,AJN 9Y071 <br />PHONE= 981~3141 <br /> <br />BUILD/NG FEE <br />PLAN <br />FL~gl 5~URCHA~3E -ZONE <br />BUiLDiNG ~fATE ¢;SURC~ARGE <br /> <br /> 2844? <br />ARC~IIECT/ENGJNEER, NO. <br /> <br />PHONE: <br /> <br />PRB¥iOUS RECEiP'f~ <br />T'Hi~ RECEiP? <br /> <br />A~OUNI <br /> <br /> ~3.84 <br /> 0.88 <br /> <br />33.60 <br />$0. O0 <br /> <br />BALANCE DUE $0. O0 <br /> <br />PAYEE: <br />RECEIVED BY: CL 'TYPE: CHECK ~: 0 <br /> <br />~ THi~ iS A VALID p~j[l~ ~ THIS PERf4I'~' EXPiRE.~ 380 DAYS F~M lf'~ 1~ DATE. iF <br />O~I~CfION C~ POR A PERIOO O¢ 180 0A~, OR iF ~BT~CrI(~ FA~L~ TO MgBI ALL <br /> <br />SHALL BEC(~E NULL AND VOID+ <br /> <br />SET~ACKS; FR 15 L$ 10 RS 10 RR 0 <br />RE~]ARKS: <br /> <br />HE!I~HI; IO1A~ SQ Fl: 202 51OR1ES: <br /> <br />L2ONAL0 E. I"¢]OOLEY, ~ARiON ~OUNfY BUILDING OFFICIAL / BY <br /> <br />FOnM # MC ~5-58 REV 4/~JO OFFICE COPY <br /> <br /> <br />