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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />990 HIGH STREET NE <br /> SALEM. OREGON 97301 <br /> <br /> BHON E" 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />I am performing work on a broperty I owr~ or occupy. <br />I am a registered builder OR the authorized representative <br />of a registered builder. <br />The work will be performed by a registered builder. <br />Other_ <br /> <br /> I have read and agree to the terms stated on the reverse side of <br /> this documonL <br /> <br /> ',;)ATE: 01/26/88 TIME: 8~25:39a <br />OWNER: STEVENS, NEWTON <br /> <br />SITLJS ADDRESS: <br /> <br /> 13682 WARBLER LANE <br /> ,AURORA <br /> <br />5066 RAY BELL RD <br />ST. PAUL, OREGON 97317 <br />PHONE: 603-538~.1266 <br /> <br />LOT: BLOCK: <br /> 9 19 <br /> <br />WIDTH: 70 :DEPTH: <br /> <br /> 33 <br /> <br />100 AREA: 7000.00 ;UNITS: SF : IRREG. LOT: NO <br /> <br /> ,RES; ~ENTIAL ,' <br /> <br /> ' OCCuPANcY: <br /> <br />OR 97002 NE iOC6U~AN~ LOAD: <br /> M,,A'. R ION COUNTY i NO <br /> <br /> ,,SUB*W~S~ON: CENTURY WEAPONS F~TH <br /> <br /> i SITE NUHBER: 3509 <br /> ' VALUAT [ ON: <br /> <br />TYPE: MOBILE HO~E PERNIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO, 46901 <br />A~RAHAM FACTORY HOMES INC/ TOM <br />17303 SE MCLOUGHLIN BLVD <br />MILWADKIE, OREGON 97222 <br />PHONE: <br /> <br /> ITEM <br />MOBILE: HOME FIRST WIDTH <br />MOBILE HOME ADDTL. WIDTH <br />MOBILE HOME ZONING SURCHARGE <br />FLEET SURCHARGE -ZONE 6 <br />MOBILE HOME STATE SURCHARGE <br /> <br />PAYEE; <br />RECEIVED BY: pb <br /> <br />6334 <br /> <br />QUANTITY <br /> 1 <br /> <br /> PREVIOUS RECETPTS' , <br /> TR[S REC~I PT <br />, :aA CE,, UE,, _,,,, _ ', <br /> :' ' ~CEIPT NO: <br /> ', T~PE;: CHECK <br /> <br />AMOUNT <br /> $35,OO <br /> <br /> ~2,50 <br /> ~7_68 <br /> $2,50 <br /> <br />$62,68 <br />$62.68 <br /> $o.oo <br /> <br />$0.00 <br /> <br />~ THZS IS A VALID PERMIT * THIS iTS ISSUE DATE IF <br />~TRUCTTON C~PA FOR A PER~'OD OF '180 ,BAYS~Of~:T'Ft~$TRUOTTON FAT~ TO NEET ALL <br />RE(;~JIRENENTS OF STATE [..,ANS AND ZONING ORDINANCES. THIS PE. RN.[T <br />SHALL BECONE NULL ~ND VOID. ': <br /> <br />SETBACKS; FR-____ LB-_ ..... RS-, .... RR~L~_ :Sp=~__ <br /> <br />REMARKS: NEW DOUBLE WiDE MH R~8770 <br />PLANNING ACTION: <br /> <br />DONALD E, WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />fORM ' MC; 1556 REV. 6/87 OFFICE COPY <br /> <br /> <br />