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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::80 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />ow~lE: 03/06/91 JiM~: 9:05:35 <br /> <br /> PLOWERS, KYLE & DANA <br />SITUS ADDRESS <br /> <br /> 225 EYREGREEN DR <br />AUMSV[LLE OR <br /> <br />UAF OF BIIILDiNG <br /> <br /> TAX LOT <br /> 5 f'fOY/5 ~ f06 <br /> CONSTRUCTION TYPE <br /> <br /> CONTRACT CITY UGB <br />AUMSVi LL~- NO <br /> <br />CATEGORY <br /> ~'ESI DEN] <br />GCCUP^NCY <br /> <br /> M-2 <br />OCOU PAN'f LOAD <br /> <br />¢/~,~NC~ *OORCSS RESlOENFiAL ACCE~ORY 5fRUCf'URES SDBDIVlSION <br /> <br />11373 MILL CREEK RD <br />AU~ViLLE, OR <br />PHONE: ?69-??44 <br /> <br />~V~RGREEN b~Af~ MH PARK <br /> <br />SiTE NUMBER.+ <br /> VALOA f iON: <br />RANG~ <br /> <br />ZONE <br /> <br />12425 <br /> <br /> MAP <br /> <br />~5 <br /> <br />LOT CORNER <br /> NO NO <br /> <br />fYPE: 8LIILOiNG PgRMif OR APPLICATION NO.* <br /> <br />CONIRACfOR, NO. 38238 <br />5ANfIAM MOBILE HOMES <br />11373 MiLLCRE~K RD SE <br />AUMSVILLB OR 97325 <br />PHON~: '/69-?'!44 <br /> <br /> I~EM <br />BUILDING <br />PLAN <br />BUILDING 5fArE SURCHARGE <br /> <br /> 30?33 <br />ARCHIf~CI/ENGiNEER, NO. <br /> <br />TOIAL A~ESSED FEDS <br />PR~¥iOU$ RECEiPf$ <br />lHi5 R~CEIP~ <br /> <br />QUAN~iTy <br /> <br />AMOUNT <br /> $20_50 <br /> <br /> $1.oS <br /> <br />~34_ 86 <br /> 34.86 <br /> $O-UO <br /> <br />~AL.ANCE DUE $0_00 <br /> <br />PAYE~.; <br />RECEIVED BY: CL2 lYPE: CH~CK ~: 0 <br /> <br />¢ THiS iS A VALID PERMI'f N< THiS PERf4II E}<PiR~-5 180 DAY5 PROM ifs i~UE <br /> <br />5E18ACKS: PR / L5 10 RS 15 RR / 8P <br />RBVLAR}~S: C RPORf ~ AWNiNG/RE~UIRE5 DESIC~ ~APABLE OP RESiSf]NG 80 MPHNiNO LO~o PLAN <br /> ~JBMiYfED ONLY INBiOAIg5 ?OMPH,PROViDE 80 MP <br />H~IGHI' fOIAL 5r~ Pr: 240 5'f0RIES: I PLAN.AC~(~; <br />DONALL) b. WOQDLgY, MARION C~N~Y BUILDING OPPICiAL / 8Y .~ <br /> <br />FORM ,~ MC ~5,56 RE¥ 4/90 OFFICE COPY <br /> <br /> <br />