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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 <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />lam performing work on a property l own or occupy. <br />I am a registered builder OR the authorized representative SIGNATURE OF APPLICANT: <br />of a registered builder, <br />%be work will be pedormed by a reglsterod builder. ~..: <br />I hsve re~d and ~gree o the terms stated on the reverse side of DATE: <br />this document. <br /> <br />DA'rE: 09/12/88 TINE: . 1~l: 03 =02,~ <br /> <br /> BOOZE, KENNETH & JUDITH 40287-000 <br /> <br />RESIDENTIAL <br /> <br /> 10207 M&TTHIBJ L~C4E NE i0~6; !O~CUPANTLOAO: <br />AURORA OR 9?002 : ' <br /> MARION COUNTY ~ NO <br /> <br /> 10236 MATTHIEU LANE NE¢(~ <br /> AURORA, 97002 ~/L/~ <br /> PHONE: 678-5218 I, v- SITE NUMBER: 4307 <br /> <br />: 0 : iBLOCK: iSECTION: ~OWNSHIP: ~A~; : ~'ON~; ;MAP: <br /> <br /> i~E~m~¢~: XREA: 7 U~S: 4S .1~ EFU 4 <br />]WIDTH: <br /> <br /> ,, ; 28.0000 AC NO NO <br /> <br />2 <br /> <br />TYPE: MO~ILE HO~IE PER~IT OR APPLICATION NO: 9011085 <br /> <br />CONTRACTOR, NO. <br />BOOZE, KENNETH & JUDITH <br />10236 MATTHIEU LANE NE <br />AURORA, 97002 <br />PHONE: 678-5218 <br /> <br /> ITF4~4 <br />FDSILE HONE FIRST WIDTH <br />HOSILE HONE ZONING SURCHARGE <br />FLEET SURCHARGE -ZONE 8 <br />MC~ILE HOME STATE SURCHARGE <br /> <br /> QUANTITY At~;~JNT <br /> 1 $35~00 <br /> $1.75 <br /> $7.68 <br /> $1.76 <br /> <br /> TOTAL AS~ESSED FEES $46.18 <br />.:PREVIOUS RECEIPTS $0.00 <br /> RECEIPT $46.18 <br /> BALANCE DUE $0.00 <br /> <br /> PAYEE: 8COZ.E, KENNETH & JUDITH .¢.,,/¢'~.--. , F~ECEIPT NO: 11800 <br /> RECEIVED BY. P~ ' , ____ . TYPE.-, OK ~: CHECK ,I~ 8458 <br /> * THIS IS NOT A PERNIT. THIs ,~/CAT'rON::NU~,'GO THROUCH A R~tlE~ /:~0~17~ I~HERE THE <br /> FOLLONZNC4 I~ILL.ST aE CO~4PLETED+ [T IS. THE ~IB[E~TY OF' THE APPLICANT TO A,.~SURE THAT <br /> ALL NECESSARY 'INPORNAT¥ON HAS BEEN PROVIDED; <br /> <br /> SEPTIC, BY__ ~,~ DAT~.~=;i:~ ~ CTTY dUR;ISDICTION: BY DATE <br /> ZONING: BY___~L~_ ........ DATE R-~-%-E*~.~_ SEq~ACKS.:. <br /> R~4AR~: MOBILE HOME PLAOEMENT R~-4818 IS NO'F 8LDG RES;PLACING ~08ILE <br /> PLANNING ACTION: <br /> <br />FORM ~ MC I*-r, 6 nEV. E/8~ OFFICE COPY <br /> <br /> <br />