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MARION COUNTY BUILDING INSPECTION <br />S~NC, TO~ B~,DG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97,301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 RM.. 8:00 A,M, <br /> <br /> i have read and agree to the terms stated on t~ sl~ DATE: <br /> <br /> DATE: 03/30/90 TINE-~ 13:28:11 <br />owNsn: VLAKYDA, NI LLINfl T*~X LOT: 1200 C,~TeeOnV: RESIDENTIAL,.; <br /> <br /> 678 HAJ~4PDEN LANE NE <br /> SALEN OR 9?305 CONTRACT CITY: UGBI OCCUPANT LOAD: <br /> MARION COUNTY NO <br /> <br /> --- ~ 2 <br /> <br /> PHONE- 362-5293~ <br /> · ~ 8ITE NUNtBER: 9228 <br /> VALUATION <br /> <br /> 28 ?S 2N AR 41 <br />WIDTH: 100 DEPTH: 650 ARSA: 65000 * UNITS: SF IRREG. LOT: NO CORNEI~O <br /> <br />TYPE: t4OSILE HO~IE <br /> <br />CONTPC~TOR. NO. 19351 <br />CONSER HOME,S, INC. <br />33566 COLUIV~US SE <br />ALBANY, OREGON 97321 <br />PHONE*. 96?-9773 <br /> <br />PERIflIT OR APPLICATION NO= 9022876 <br /> <br /> ITE~i <br />fflOSILE HO~IE BASE FEE <br />r4OSILE HOf4E STATE FEE <br />MOBILE HI2f4E ZONING SURCHARGE <br />FLEET SURCHARGE ~ZONE 2 <br />MOBILE HOI~IE STATE SURCHARGE <br /> <br />TOTAL ASSESSED, FEES <br />PREV)C~JS RECEIPTS <br />l'HI$ BECEIPT <br /> <br />BALANCE DUE <br /> <br /> PAYEE: VLAvI~.DA. NILLIAJ~I <br /> RECEIVED BY. cl <br /> <br /> · THIS IS NOT A PER~IT. <br />FOLI.~IN6 ~ BE <br />~ N~ IN~TI~ ~ <br /> <br /> ~ R~I~: 8Y,,,.,~ ........ ~TE_'~ <br /> <br /> Z~ ING: BY b,~ ~TE <br /> <br />(~JANTITY ANOUNT <br /> $89.25 <br /> <br /> {5~25 <br /> 2.~6 <br /> 5.25 <br /> <br /> $119.06 <br /> $o.oo <br /> $118.06 <br /> <br /> $o.oo <br /> <br />RECEIPT 24239 <br />CHECK~ 1933 <br /> <br /> PROCESS I~I'iERE THE <br /> TO A,.,~SURE '~-IAT <br /> <br /> CITY JURISDICTION** BY .............................DATE <br /> <br />SETBACKS.. FR to LS RS,,,,,,,I,,~ ...... RR.._..~..~.._ <br /> <br />'M015-56 REV OFFICE COPY <br /> <br /> <br />