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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::30 <br />24 HOUR CODE-A-PHONE 588-7904 <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />ow~A f E: 05/24/91 <br /> <br />s, rus AJL~eS~Oklcg~ ' <br /> <br />9:54=02 <br /> <br />TAX LOT <br /> <br />CONSIRUCTION TYPE <br /> <br />CATEGORY <br /> <br />OCCIIPANCY <br /> <br />RgSI 0EN l 1AL <br /> <br /> 245 EVERGREEN DR <br /> AUIvlsv I LL~. <br />UbE 0~- BUILOING <br /> <br />OR 9?325 <br /> <br /> CONTRACT CITY <br />]4 <br /> <br />AUFISV i LLE <br /> <br />UGB <br /> <br />NO <br /> <br /> P,O. BOX 636 <br /> AU~ViLLE, OR <br /> PHONE: <br /> <br />LOT BLOCK <br /> <br /> EVERGREEN MH E~fAIES <br /> <br />S~fE NU~8~R; ]3057 <br />RAN~LUA¥IC'~N: ZONe MAP <br /> <br /> IRREG LOT CORNER <br />SP NO NO <br /> <br />f'YPE: PLUIVlBtNG <br /> <br />PER, IF OR APRLiCA[ION NO: <br /> <br />CONIRACIOR, NO. 14922 <br />CENIRAL OR~GON IvlOBiLE <br />285 SO.PACIFIC HIGHWAY <br />~¢OODBURN, OREGON 97071 <br />RHONE: 981~3141 <br /> <br /> llgM <br />~081L_P HOM~ 5EWER AND WAfeR C%)NNECFiON <br />RLUMBING 5IAIE 5URCHARG~ <br /> <br />PAYEE: CgNFRAL OREGON IvlOBiLE <br /> <br />9032435 <br /> <br />[Of'AL ASSESSED PE~ <br />PREVIOUS RECEIPTS <br />tHiS RBCEIP'r <br /> <br />BALANCE DUE <br /> <br />QUANfliY <br /> 1 <br /> <br />INVOICE NO; <br /> <br /> A~OUNI <br /> <br /> $26.25 <br /> $26.25 <br /> <br /> SO,OD <br />34222 <br /> <br /> RECEIVED BY: pr IYRE: iN CHECK ~: 0 <br />* THiS IS NOT A PEF~iT. THiS APPLICATION I~UST 60 THROUGH A REVieC; PROCESS ~E~ THE <br />FOLDING ~ST BE ~PLETED. IT iS THE R~iSILiTT OF THE APPLI~T TO ~RE THAT <br />ALL NEC~ [N~TI~ H~ 8E~ P~IDEO+ <br /> <br />PLAN REVIEW: BY <br /> <br />REIV~RKS: MM CONN <br /> <br />DA'IE <br /> <br />Oily JURiSBICIiON; BY 0AlE <br /> <br />OFFICECOPY <br /> <br /> <br />