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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 />~ lt?H~R ~ MA f f HC':.'~ <br /> <br />TAX LOT <br /> 5 Y~O6-U00 <br /> <br />CONSTRLICTION TYPE <br /> <br /> 125 5PRL.l:b Cf <br />AUMSVf LW: OR 9'/325 <br /> <br />AUMSVI LLE <br /> <br />UGB <br /> <br />MAILING ADORESB <br /> <br />PO ~C)X 12736 <br /> <br />PHONE ¢ 2b?'-59C',' <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> <br /> SI~E NU¢¢I~R. 1326J <br /> VAL LJA f ,'[ON: <br /> <br />RANGE ZON~ <br /> <br />IRREG LOT CORNER <br /> NO N(] <br /> <br />MAP <br /> <br />f YP~: PLL,JfVlU ~ N",.- <br /> <br />°ERMZT OR APPLiCAFION NO: <br /> <br /> I r EM <br />MOBIt._b Hr,.~¢iL hEWER ANL) ~AfgR CONNECflON <br />PL, U~Tb iNG bT~ T E bLJI,<f,;HARG~ <br /> <br />'TOI'AL A~:~S~SS~U FEE5 <br />PREVIOUS RECEiPIS <br />fHiS <br /> <br />r.)UAN T i T Y AM(A,J~I ~ <br /> $25.00 <br /> <br />$2b, 2b <br /> $0-Od <br />$26 2~:, <br /> <br /> PAY~;~,:: V~LUE MOBILE HOMES <br /> <br />* THIS iS NOI A PE~IT. TH[~ APPLICAT[~ ~T ~ TH~ A R~[BN P~ ~6RE THE <br />FOLL~ING ~T BE ~PLETED. IT IS THE RES~[BiLITY OF THE APPLiC~T TO ~RE ~HA~ <br />ALL NE~ 1NF~T[~ H~ <br /> <br />REMARK~: CONN <br /> <br />DA f B .................. <br /> <br />OiTY JLRioOiGIION: BY <br /> <br />FORM # MC 15-66 R~V 4/90 OFFICE COPY <br /> <br /> <br />