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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 />The work will be performed by ~, registered builder, <br /> <br />DATE: 04/24/8? TIME: 10t15:088 <br />OWNER: ' TAX gOT'. <br /> THOMPSON, DAVID <br />SITUS ADDRESS: CONSTMUDTION TYPE; <br /> <br />55362-000 <br /> <br />CATEGORY: <br /> <br />OODUPANCYz <br /> <br /> 8501 HOIJVlOUIST ROAD SE "'¢-0N~RA~¥blTy; : UGR: <br /> AuMSVI LLE OR 97325 : <br /> <br />USE OF SUILDIN~; <br /> <br />' Su~mv,s,6N; <br /> <br />OCCUPANT LOAD: <br /> <br /> 2 <br /> <br />PO 8OX 182 <br />STAYTON, OREGON 9?383 <br />~qONE: NONE <br /> <br />LOT: ~ BLOCK: <br /> <br />WIDTH: DEPTH; <br /> <br /> SITE NUMBER: 1120 <br /> VALUATION: <br />:SECTION; TOWNSHIP; ~'E~ ' ZO~: <br /> 31 85 'IN AR <br />AREA: O~iTs; IRR~G, LOfl <br /> 1_50000; AC Y N <br /> <br />TYPE: MOBILE HOME <br /> <br />CONTRACTOR, NO. <br />THOMPSON, DAVID <br />PO BOX 182 <br />STAtq-ON, OREGON 97383 <br />PHONE ~ NONE <br /> <br />PERMIT OR APPLICATION, NO: 166~ <br /> <br /> ITEM <br />fcE)SILE HOME FIRST WIDTH <br />MOBILE HOME ADDTL, WIDTH <br />~OBILE HOME ZONING SURCHARGE <br />MOBILE HOME PLANS REVIEW FEE <br />FLEET SURCHARGE --ZONE ~ <br />MOBILE HONE STATE SURCHARGE <br /> <br />TOTAL ASSf~,SED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />PAYEE: <br />RECEIVED BY: PB <br /> <br />~ THIS IS A VALID PERNIT ~ <br />CONSTRUCTION CEASES FOR A <br />REQUIREMENTS OF STATE I_~ <br />SHALL BECOME NULL AND VOID. <br /> <br />QUANTITY AMOUNT <br />1 $35.00 <br />1 <br /> ~2.50 <br /> 0,00 <br /> $3.84. <br /> $2_00 <br /> <br />$58.34 <br />$58_34 <br /> $0,00 <br /> <br />:.tO. 00 <br /> <br />INVOICE NO: <br />CHECK <br /> <br />ITS I~T~UE DATE. IF <br /> FAILS TO MEET ALL <br /> ORDINANCES. THIS PERMIT <br /> <br />SETBACKS:FR-~2¢~. <br />R~RKS: ROUBLE WIDE <br />PLANNING ACTION:: <br />DONALD E. WOODL.EY, <br /> <br />OFFICE COPY <br /> <br /> <br />