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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: $88-7904 <br /> <br />TAX LOT <br /> <br /> 12054 WEST SrAYTON RO <br />AUFI¢V l LLE OR <br /> <br />97325 <br /> <br />SE <br /> <br />I~ARi ON COUNI Y <br /> <br />MAILING ADDRESS <br /> <br /> PRiMARY DWELLING AT 11679 ~CCLELLAN <br /> PHONE: 769-7449 <br /> <br />Si1E NUIV]BER: <br /> VALUAIlON: <br /> <br />13 9S <br /> <br />NO <br /> <br />CATUeORY RE~I DEN I IAL <br />OCCUPANCY <br /> <br />OCGUPAN~ LOAD <br /> <br /> 3 ~ <br /> <br /> 12033 <br /> <br />2W EFU 62 <br />NO C°~N~No <br /> <br />'tYPE.+ MO~ILE HOf~E PE~iT OR APPLiCATiON NO: <br /> <br />29601 <br /> <br />CONT RACI OR, NO. <br />DAVi D~ON, JOHN <br /> <br />PRiD&ARY ~¢LLiNG Air 11879 <br /> 769-?449 <br /> <br /> iIET4 <br />~OBiLE HONE BA~SE FEE <br />MO~ILE HOf4E S1A1E FEE <br />f~OEiLE HOf~E ZONING <br />~,.~iLE HOME SlAfE ,SLIRCHARt~E <br /> <br />tOtAL ~ED FEE~ <br />PRE~iCX,I$ RE~2EIPIS <br />THIS RECEIPT <br /> <br />BAL~CE DJE <br /> <br />PAYEE: <br />RECEIVED BY: PB TYPE: <br /> <br />(~)U~NilI'fY /~¢4rJt. IN1 <br /> ~89.25 <br /> 15.75 <br /> ~5.25 <br /> 5.25 <br /> <br /> ~115.50 <br /> 115.50 <br /> $0.00 <br /> $0.00 <br /> <br />RECEIPT <br />CHBCK ~: 0 <br /> <br /> THIS IS A VALID PER,lIT ~ THIS PE~IT ~XPIRID5 180 [~e,~ FRC~ ITS I.%.~JE DATE. IF <br />O3NSTRUCTION C~'F~ P-DR A PERIOD OF 180 ~,OR IF ~Ti;~JCTION FAi~,~ TO ~EET ALL <br />RF-.~XJiRE~4I~TS DE STATE ~ ,a~lD it~RION C~XJN'rY BUILDING /~ID ZONINS ORDIN~ICE~5, THiS PER,liT <br />E~IALL BE(3DI~IE NULL ANDVOID. <br /> <br />~O~M # MC 1~-~ ~v 4/9o OFFICE COPY <br /> <br /> <br />