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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 - 430 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />of a regl~tered budder <br />The wo¢k wdl be performed by a rog~stered budder <br />O her <br /> <br />°wN~CA I E '- 05/:84/91 I' ihlE: <br />SITIIS ~r~rmFs~ANl iAI~ HC.~ES <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />[AL <br /> <br /> 2 ] gl EYERGREEN DR -- <br />AUlVlSVi Lbg OR 9';c..425 <br /> <br /> QONTRACT CITY <br />1 <br /> <br /> AUM~V,~ LLE <br /> <br />NO <br /> <br />SUBDIVISION <br /> <br /> 113'/3 MILL OR <br /> AU M~bV I L L E <br /> PH C~N ,P;, s ?,59-?744 <br />LOT BLOCK <br /> <br />SECTION TOWNSHIP <br /> <br /> EVERGREEN MH ESIAIE5 <br /> <br />SITE NUMBER: 130Ct <br />RAN~VF~LUAf'iON: ZONe MAp <br /> <br />-ND NO <br /> <br />I Y,°E; P..L~.C f RiCAL <br /> <br />CONIRAC]OR, NO, 58238 <br />LICENSE NO' <br />3ANIiAM MOBILE HOMES <br />113't3 ~ILLCREEK RD SE <br />AU~ViLLg OR 97325 <br />PHONE: 769~7744 <br /> <br />PEkl'4IF OR APPLiCA'Fif,3N NO: 33144 <br /> <br /> SUPERVISING ELECTRiCiAN/NUMBER <br /> <br />MANUPACfURED HO'ME S~-..RVICE/FEEDEI~ <br />U.L b(;l RIDAL S~A [ I:;; ~LIR"CHARGE <br /> <br />f,~ANiI~Y ,'~v~,,,~Nl <br /> 1 $35_~0 <br /> $1. <br /> <br />PREVIOUS RECEIPIS <br /> <br />~36_ '~'5 <br /> 3~_ fb <br /> <br />BALANCE DUE $0.99 <br /> <br />RECEiPt NO: <br /> <br /> THiS i~ A VALID PEIN~llT $ THIS PERi,lIT EXPIRES 180 GAY5 FROel ITS 1,~AJE DATE. iF <br />CONSTRUCTION CEA~ FOR A PER/OD OF 180 DAYS, OR 1F CONSTRUCTION FAiL~ TO MEET ALL <br />REQUiRE~41~NT~ OF ~TATE LAIN~ AND r. IARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PER~Ii¥ <br />~HALL BECOME NULL AND VOID. <br /> <br />RE.MARKS: IVlH CONN <br /> <br />0QNALD E. WOODgEY. I"AARiON COUNI¥ BUILDING OF'PICIAL / BY ........ ~ <br /> <br />FORM g MC 15 56~E'v 4,90 OFFICE COPY <br /> <br /> <br />