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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 />of a registered buH~er, <br /> <br />ewK~'f'E: 02/26/91 <br /> <br />~,us ^DDnES~J=OHN~' JiM <br /> <br />TIME: 14:41:i5 <br /> <br />TAX LOT CATEGORY <br /> <br /> 73350-080~'/ OCCUPANCY' <br />CONSTRUCTION TYPE. <br /> <br />Rl~ I L)E.N'I I <br /> <br /> CONTRACT CITY U(~B OCCUPANT LOAD <br /> 1987~ OLJVlS'f'EAO RD NE <br />AURORA .Ol~ ~.002 <br /> <br />MA~ NG ADDRESS ~[LE R~E SUBDIVISION ~ <br /> <br />~ J. l'~ NUMBER: 530 <br />nAN~LUAT I'ON; ZONE <br /> <br />TYPE: IvOSILE HOME PER~III' OR APPLiCA'I'ION NO: 9030626 <br /> <br />OON'I'P,~AO'I'OR, NO. 14922 <br />CENTRAL OREGON <br />285 ~O,PACiFiC MiGHNAY <br />~tfJODBURN, OREGON 97071 <br />PHONE: 98'1~3141 <br /> <br /> iTEM <br />MOi:IILE HOME BASE FEE <br />¢4OSiLE HOME STATE FEE <br />MOBILE HOME ZONING ~URO~ARGE <br />~;)B[LE HO~E ~I'A'I'E SURCHARGE <br /> <br />QUANITIIy <br /> <br />$89.25 <br />$~5.'75 <br />$5.25 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />TH[S RECEIPT <br /> <br />$~5_5o <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: JOHN~N, JIM /1/t RECE!PT 32353 <br /> <br />* THIS 1~ NOT A PER~tT. THXS APPLt~T~ ~T,~ TH~ A R~I~ P~ ~gR~ THE <br />~LL~IN6 ~ST BE ~PLETEB. IT 18 THE: ~8]B~LtTY OF THE APPL~T TO ~RE THA'[ <br />~L N~RY INB~YI~ H~ BE~ P~XDED. <br /> <br />FORM # MC ~ 5l ~ R ~ . 4mO OFFICE COPY <br /> <br /> <br />