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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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 APPLICAN] <br /> <br /> DATE <br /> <br />DAf'E: 00/18/91 riNE: 16:53_+35 <br />KALJFMAN , ~P-RI <br /> <br /> 250 gYg;RGREfEN DR <br />AUM'-..?V I LLE OR <br /> <br />USE £]F BUILDING <br /> <br /> CONTRACT CITY <br /> <br />AUIWEVi LLE <br /> <br />UG8 <br /> <br /> NO <br /> <br />CATEGORY <br /> RESI DEN ~ <br />OGCUPANCY <br /> <br />rcK.~B 1LE HOf4[ <br /> <br />SUBDb/ISION <br /> <br />3 <br /> <br /> PHONE: <br /> <br />LOf STOCK SECTION TOWNSHIP <br /> 5 25 <br /> b5 89 <br /> <br />85 <br /> <br />SP <br /> <br />Si TE NUMBER: 13069 <br />VALUAI iON: <br /> <br /> YE5 NO <br /> <br />[YPE: ~iLE HOME PERlvlJ, l' OR APPLICArION NO.- <br /> <br />CQNfRACfOR,. NO. 38238 <br />~,ANflA~ ~','/O~iLE HOMES <br />113Y3 MiLLCREEK RD <br />AtJf~V I LEE OR 97328 <br />wI'iON ~: '? b 9- / 744 <br /> <br />MOBILE HOME HASE FEE <br />IvlOBiLg HQMg 5fArE FEE <br />MOBILE HOME 5['A¥~ ~JRC~4ARGE <br /> <br />PAYEE: <br />RECE[VCH BY: CL <br /> <br />32965 <br /> <br />QUANII~Y ,~¢'IOUNI <br /> $89_25 <br /> $15.75 <br /> $5_25 <br /> <br />fOIAL A,$.S~ED <br />PR~¥iOUs RECEIPTS <br /> <br />$110.25 <br />$110_25 <br /> $0.0~ <br /> <br />BALANCE l~JE $8.00 <br /> <br /> iNVOICE <br />TYPE: CHECK ~; 0 <br /> <br /> THIS i~ A VALID PEI;~41T * THIS PEI~IIT EXPIRE~ 180 DAYS FROD1 [TS iS,EJJE DATE. IF <br />~ST~CT~ C~ FOR A P~iOD OF 180 ~,OR 1F ~T~CTI~ FA[~ TO MEET ALL <br />~I~T~ OF STATE ~ ~D ~Ri~ ~N~ BUILDING ~D Z~ING OROI~C~. THIS <br /> L 8~E NULL ~D ~i0. <br /> <br />SETBACKS: FR 10 LS 10 ~ 10 RR 10 SP <br />NgI"aARKE: MH PLACEMNT ...... <br /> <br />PLANNING ACIiON: <br />DONALD E_ WOODLEY, ~ARiON fJOUNfY BUILDING OFFICIAL / BY <br /> <br />Fo.~ ,~ MC ~sse .~' 4/~o OFFICE COPY <br /> <br /> <br />