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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 RM, - 8:00 A.M. <br /> <br />0AVI0C:~N, J.Aj'flES ~ <br /> <br />1]~17:53 <br /> <br /> CONSTRUCTION TYPE: <br /> <br /> CONTRACT CITY: UGB; <br /> <br />DETROIT NO <br /> <br /> 255 SANTIAN <br />DETROIT <br /> <br />OR 97342 <br /> <br />P.O. 80X 592 <br /> <br />PHONE: <br /> <br /> 50 100 <br /> <br />TYPE: MOBILE HONE <br /> <br />CONTRACTOR, NO. <br />OAVIOSON, JANES <br />P.O, 8OX 592 <br /> <br /> 1 10 5E <br /> 5000. NO <br /> <br />PEP, hllT OR APPLICATION NO: 21579 <br /> <br /> ITEN <br />f'/OS[LE HONE BASE FEE <br />MOBILE HONE STATE FEE <br />FLEET SUF~CHARGE -ZONE 7 <br />NC~ILE HONE STATE E:,URCHAR'GE <br /> <br />PAYEE: <br />RECEIVED BY: c] <br /> <br /> THIS IS A VALID PERIvlIT * <br />C(INSTRUCFFION CE, kS. ES FOR A <br /> NULL AND VOIO+ :ii <br /> <br />CATEGORY: <br /> RESIDENTIAL <br />OCCLJ PANC Y: <br /> <br />SITE NUNiBER: 9324 <br />VALUATION: <br /> <br /> bio <br /> <br />SETBACKS= FR ..... LS <br /> <br />RE~ARKS: NH REPLACEMENT, <br />PLANNING ACTION: <br />[X}NALO E. K~ODLEY, N~R[ON COUNTY BUILDING OFFICIAL / SY <br /> <br />QUANTITY ANOUNT <br /> ~89.25 <br /> 15.75 <br /> $8.96 <br /> $5,25 <br /> <br />~119,21 <br />119.21 <br /> $o.oo <br /> <br />$o.o0 <br /> <br />IECK ~: 0 <br /> <br /> 1SECJE DATE. IF <br />FAILS TO MEET ALL <br /> ORDIN,NNCES, 'rills PER~IT <br /> <br />FORMCMCI$-56 REV, H/88 OFFICE COPY <br /> <br /> <br />