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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM1 OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> ) Other ......... <br /> <br /> DATE: 10/17/91 'riME: <br />OWNER; 8AN'¥ i Al'fl HOfflES <br /> <br />TAX LOT; 5??06--000 <br /> <br /> 240 EYERGREFJ~ OR <br />AUf4SViLLE OR 97325 iCON~B~C~' C~TY: <br /> IAU~¥I LLE <br /> <br /> rctANUFACTURED STRUCTURE <br /> <br />PHONE: <br /> <br />LOT: BLOCK: <br />4 <br /> <br />RESi DENT iAI <br /> <br />OCCUPANCY: <br /> R-3 <br /> <br />OCCUPANT <br /> LOAD; <br /> <br />EVERGREEN ~IOBILE HOME PARK <br /> <br />si'rE NUFI~ER: 12757 <br />VALUA'T' I ON: <br /> <br />!SECTION; i TOWNS~ P i R~N~: i ZONE; MAP: <br /> <br />3 <br /> <br />'rYPE: NANUFACTURED STRUCTURE <br /> <br />CONTRACTOR, NO. 38238 <br />Dan~") L Carven <br />11373 Mff"l"l Creek Rd <br />Aurr~v~"l'le, <br />~HONE: 769-'1744 <br /> <br />PERRI'F OR APPLICAT[ON NO: 36088 <br /> <br />NANUP'AC'I'URED 8'F'Ruc'ruRE PLACENENT/CONNEC'FION <br />MANUFACTURED STRUCTURE SI'ATE FEE <br />¢4ANUFAC'f'UREO STRUCTURE STATE ~UR(.~ARGE <br /> <br />PAYEE: <br />RECEtVEO BY: DM2 <br /> <br />TOTAL A.~S~EDFEES <br />PR~%'IOU8 RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AIvFOUN'I' <br /> $t82.00 <br /> $20.00 <br /> $9.~0 <br /> <br />$211.10 <br />$211.~0 <br /> $0.00 <br /> <br />BALANCE 0UE $0. O0 <br /> <br />iNVOICE <br /> <br /> 'FYPE= CHECK ~: 0 <br /> ~ THIS IS A VALID PEI~IIT ~ THiS PER~IT FEE COVER~ ONE INSpECTiON AND ~E RE~TI~. ALL <br /> <br /> ~'IRE- ___~/ I~T[~. IF ~Y OF ~E If~ ~E I~P~TE, ~ ADDITI~AL INSP~TI( <br /> ~T~~ U. P~IT IS VALID ~R 5IX ~THS~LY+ ~ FOR 6 ~THS U~ ~ITT~ ~T <br /> ~z~, PRIOR TO ~E ~Pi~T[~ ~TE OF THE PE~[T. IF ~ST~CTI~ FAI~ TO MEET ALL R~ <br />OF ~TATE ~ ~D ~R[~ ~TY BU/~/N~D Z~/~O~IN~C~, THIS PE~IT ~LL B~E NULL <br /> <br /> 8EfBACKS: P'R 10 LS 10 RS 10 RR 10 SP <br />~ ' RENARKS: FIOB[LE HOME PLACEREN'f ........... <br /> <br />PLANNING A¢'riON: <br />DONALD E. NOODLEY, ¢4AR[ON COUN'T'Y BUiLOiNG OF'FICIAL / BY <br /> <br />FeRN ~ ~c ~ ~-~ ~v../~o OF FIC E COPY <br /> <br /> <br />