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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> P,HONE ~88-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />RESiDENT[AL <br /> <br /> 10509 STAYTON ROAD <br />AU~4SVILLE <br /> <br />OR 97325 I <br /> ~&RION.._CQUNI~ ......~ .... NQ <br /> <br />PHONE; 769-6732 <br /> <br /> I SITE NUNSER: 3845 <br /> '~ VALUATION; <br /> <br />0.28000 ~ AC I NO ~ NO <br /> <br />TYPE: .~ILE HONE <br /> <br />CONTRACTOR, NO. 30094 <br />;N'TER-CITY HOUSING <br />3333 E HWY 34 <br />ALSANY OR 97321 <br />PHONE; 926-8844 <br /> <br />PERMIT OR APPLICATION NO: ~120 <br /> <br /> ITEM <br />~OBILE HOME FIRST WIDTH <br />~08ILE HOME ADDTL. WIDTH <br />MOBILE HOME ZONING ,SURCHARGE <br />CLEET SURCHARGE -ZONE 3 <br />~OB[LE HOME STATE SURCHARGE <br /> <br />~REVtOU$, RECEIPTS <br /> :RECEIPT <br />: 8ALANCE DUE <br /> <br />PAYEE: <br />RECEIVED BY: Db <br /> <br />* THIS IS A VALID PERMIT ~ THIS: <br />CONSTRUCTION CEASES FOR A PERIOD OF <br />REC~UTREI'.41~N'FS OF STATE LA.~T~' <br />,~HALL BECOME NULL AND VOID¢ " <br /> <br />REMARKS: MOBILE. APPROVED FOR 1 <br />PLANNING ACTION: <br /> <br />DONALD E, WOODLEY, <br /> <br />OUANTZTY AMOUNT <br />1 $35.00 <br />1 $~5.00 <br /> $2,50 <br /> $3.84 <br /> $2,50 <br /> <br />$58_84 <br />$58.84 <br /> $0,00 <br /> <br />$0- 00 <br /> <br />MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> :: R,E~E~PT NO: <br />,£ : ~PE'-* ..... ::;'CHECK <br /> <br /> ]~TS 'rSSUE BATE. IF <br /> DN FAILS TO ~ ALL <br /> ,~N60RDI~, ~IS P~IT <br /> <br /> <br />