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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 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE; 588-7904 <br /> <br />Other ..... <br /> <br />OWNEROA'['Ez 03/13/91 'riME~ i3:20'.00 TAX LOT: iCATEGORY; <br /> 19872 o~'r~o R0 NE ~ <br /> <br />f4ARiON COUNf'Y <br /> <br />RESiDEN]'i~ <br /> <br />LOT: <br /> <br /> OAY 682-2420 <br />PHONE: 678-5133 SiI'E NUIVlBER: 530 <br /> BLOCK' ,SECTION; TOWNSHIP: Ra~ ~ E'. VA J';'U~ T ] ~ ~0 N B MAP: <br /> <br />tYPE: ~ILE' H~E PE~IT' OR APPLiCATiON NO: <br /> <br />OON'I'RAC'fOR, NO. 14922 <br />CENTRAL OR~'~tON ~Of~lLE <br />285 SO.PACiFIC HIGHNAY <br />(,~4~O~URN, OREGON 97071 <br />PHONEt 981-3141 <br /> <br />fvKO81LE HONE BASE FEE <br />N1OBiLE HONE STATE FEE <br />~LE HONE ZONING.%~RC:HARGE <br />IvlOBILE HO¢4£ STATE SURCHARGE <br /> <br />TO[AL ,,~E~ED P~EcS <br />PREY ! OU~ RECE I P'I'S <br />TH£S RE~C£ i' p'f' <br /> <br />qUANTiTy <br /> <br />A~,,,)UN'f' <br /> ¢89.25 <br /> 15.75 <br /> ~5.25 <br /> 5.25 <br /> <br />$115.50 <br />$115_50 <br /> $0_90 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RE~EIP'F 0 <br /> <br /> RECEIVED BY: CL TYPE: CHECK ~: 0 <br /> THIS ].S A VALIO PER,lIT * THJ. S PER~['r E~PIRE~. i80 :oAY~ ~ ~TS I~E ~TE. iF <br />~T~CT/~ C~ FORA ~JOO OF.180 ~,OR iF ~ST~OTi~ FAI~ TO ~EE? ALL <br />~[R~T~ OF 3TATE ~ ~D ~1~ ~ BUILDIN8 ~o Z~ING ORDIN~C~, THIS PE~IT <br />~ALL 8~E NULL ~O ~IO+ <br /> <br />=O~iM # MC 15-~ REV. 4/~ OF FICE COPY <br /> <br /> <br />