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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HiGH STREET NE <br /> SALEM (DREGON 97301 <br /> <br /> PHONE:: 588-5147 8::00 - 4',30 <br />24 HOUR CODE-A-PHONE §88-7904 <br /> <br /> Other ................ <br /> <br /> WEL<SENHAUS, DORi.5 <br /> <br /> 2:35 ~WE~R~ OR ~- <br />AU~Vi LLB OR 97~25 <br /> <br />AUIvIE, ViLLE, OR 97325 <br />PHONA=; 749~1527 <br /> <br />DATE <br /> <br />TA× LOT CAT~.GQR'~ RHE, I DEN [ iAI,. <br /> <br />AU~V! LL~ <br /> <br /> NO <br /> <br />F_.:.VER~REEN ~ILE BrA1 6 <br /> <br />$llE NU~ER: 11928 <br />VALUAT ~ ~: <br /> <br />FYPE.' ~iLE HOM~ PERMIr OR APPLiCAtiON NO: <br /> <br />29278 <br /> <br />croNI,RACIOR., NO, 302~8 <br />%T~NNTIAM NOE, iLE HOMES <br /> 11373 MILLCREEK R0 SE <br />AU~E, VILL£ OR 97325 <br />PHONE.- 769-7 ';'44 <br /> <br />FLE£T EcURGHARGE -ZONE 3 <br />Iv~)t~ILE HO~IE SEAtE E~JR(2HAR(~E <br /> <br />f~X~AN r i I'Y <br /> <br />AN(DUN r <br /> $89.25 <br /> $15.75 <br /> $3.94 <br /> <br />rOrAL ASSESSEO ¢E'~ <br />PREVIFSU$ R~CEi P F$ <br />THIS RP.,CEI P"F <br /> <br />$~14.09 <br /> 14.09 <br /> <br />BALANCE DUE <br /> <br /> PAYEE: iNVOIC~ <br /> REC~IV£D BY: C'I TYPE: (~tECK ~: 0 <br /> <br />~ THi3 15 A VALID PER~IT * THIS PER~IT EXPIRE:5 180 DAY~ FRO~I Irs z~E ~TE. iF <br />~T~CTI~ C~ F~ A ~Ri~ OF 180 ~,OR IF ~T~CTI~ FAi~ TO RE~ ALL <br />RE~[R~F~ OF STATE ~D~Ri~ ~NTY BUILDING AND Z~ING O~IN~C~, THiS PE~I'T <br />~ALL ~E NULL ~D VO[O. <br /> <br />SEIBACF~: PR 10 L~ lO ~ lO RR 10 5P .... <br />RF.J~AR~.- MOBILE HOM~ PLA$~E~N'I <br /> <br />PLANNING AC, I ION. <br />DONALD E. ~K>OOLEY, IvN~,.RION COUNIY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />