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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: 588-514.7 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />hSVe read arid agree to the terms stated on the reverse side of <br /> <br />owE,~e'r6: 10/23/9o 'rrMIE: 17:15:13 <br /> <br />S~TUS ABDRFSI~j'LLICAN' B/LL <br /> <br />TAX LOT: <br />CONSTRUCTION 'T'YPE: <br />CONTRACT CIT~ U(JB: <br />DETRO.[ T NO <br /> <br />115 Bur'rE <br />DETROIT <br /> <br />OR 97342 <br /> <br />RE,SI DEN'f IAL <br /> 2 <br /> <br /> P.O+ BOX ~e4 <br /> DETROIT, OR 97342 <br /> PHONE; 854-3626 <br /> <br />LOT: BLOCK: <br /> <br />100 ' 5000 <br /> <br /> ~ITE NUMBER: <br /> <br />11[] RREG LOT ~E <br />SF No <br /> <br /> 11178 <br /> <br />ZONE: <br /> <br />CORNER: ~="5 <br /> <br />MAP: <br /> <br /> 185 <br /> <br />TYPE= IvIOBZLE HOFIE <br /> <br />CONTRACTOR, NO. 38238 <br />EC~N'riA~IIV}O~ILE H0fflES <br />11373 MILLCREEK RD SE <br />AUI~SVtLLE OR 97325 <br />PHONE: 769~?744 <br /> <br />PERt, liT OR APPLiCATiON NO: <br /> <br /> il'EM <br />NOB[LE HO~IE BASE FEE <br />IvlOB/LE HOffl6 ~'rATE FEE <br />t,IOBILE HOf¥1E ZONING SURCHARGE. <br />FLEET f:~JRCHARGE -ZONE 7 <br />I~ILE HOf, IE STATE .EOJRL.'HARGE <br /> <br />27127 <br /> <br />TOTAL ASSESSED FEE~ <br />PRE¥iOJS RECEiP'FS <br />THIS RECEZPT <br /> <br />QU,N~I T 1 'f Y <br /> <br />289,25 <br />15.75 <br /> 5,25 <br /> <br />$124,46 <br />$t24.46 <br /> $o.oo <br /> <br />BALANCE BUE $0.00 <br /> <br />PAYEE= INVOICE <br />RE. CEIVEO BY: CL2 .......................... , .................................... TYPE: CHECK <br /> <br /> * THIS 18 A VALID PEI~I/T *' T. HIS: PER~IT EXPIRES 180 DAYS FRO~ ITS :iSSUE DATE. [F <br />C~NSTRUCT tON <br />~$JLl~[R~" NU L ANoCF'~I~ I~ORvo.tuA PERIOD (~¢ 1~80 DAYS,OR Il= CONSTRUCT[ON FAZL~ TO IV~EET ALL <br /> <br />s~'mAc~: FR 20 L$ 5 R~i 5 RR 5 .'~P .............. <br />RF..MAR}',S: r~ PLACEME~I ...... <br /> <br />PLANNING ACTION: <br />DONAL0 E. I/K3ODLE~, ~RION COONTY BU/LDINGOP'FiCIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />