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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 /> Other_ <br /> <br />DATE: 12/29/87 TINE: 3:54:55p <br />OWNER: IAWNN, I~R'I'ON ! ~AX LOT'. <br /> 56427-000 <br /> <br />SITLJS ADDRESS: <br /> <br /> 11054 MILL CREEK RO SE , <br /> AU~VI LLE OR 9?002 ~ '~8~' ~i~; <br /> ~I~ ~N~ NO <br /> <br />MAILING ADDRESS; <br /> <br /> SANE <br /> HARRIS, ALLEN- LESSEE <br /> P'FION E = <br /> <br />LO'f: SLOGK: <br /> <br />WI~TN: :0~PTH; <br /> <br />IOCCUPANT LOAD~ <br /> <br /> [ SUBDIVISION; <br /> <br /> i SITE NUMBER: 3366 <br /> VALUATION: <br /> <br />: SECTION; f Z~i~: MAP'. <br /> 32 83 1W EFU 48 <br /> <br /> AREA: 6.00009 ?NITS: ~ [ IRREG. LOT: NO i COR~: <br /> <br />TYPE: NOBILE HONE PEI:;2,1IT OR APPLICATION NO: 6022 <br /> <br />CONTRACTOR, NO. 50027 <br />LUCA8 HONES <br />HNY 22 & GOLF CLUB RD SE <br />BTAYTON, OR 97383 <br />PHONE: ?69-33?? <br /> <br /> ITEM <br />MOBILE HOME FIRST WIDTH <br />MCSILE HONE ADDTL. WIDTH <br />NO~ILE HONE ZONING SURCHARGE <br />MOBILE HOME mL~S REVIEW FEE <br />FLEET S~JRC.,HARGE -ZONE 3 <br />MOBILE HOt,4E STATE SURCHARGE <br /> <br />TOTAL ~ESSED"FEE.S <br />P~EVI OUS .RECE <br />,THI~'.'RECEIPT .' <br /> <br />QUANTITY AMOUNT <br />1 $35.00 <br />1 $15.00 <br /> <br /> 0.00 <br /> 3.84 <br /> 2.50 <br /> <br />¢58.84 <br /> 58.84 <br /> $o.oo <br /> <br />$0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: JB <br />* Tibia ~ ~-~LZD PERN~T * THiS'PF_I~if,'EXPi~ES¢leo,,I~AYS FROM ~TS I~E ~TE. IF <br />~CTI~ C~ FOR A P~D' ~ ,]80,,~;~,IF .~TI~ FAI~ TO ~ ALL <br /> OF STATE ~ <br /> NULL <br /> <br />SETBACKS: FR~____ LS- ~ _ RR-____ SP'.-.____ <br /> <br />REI~RK~: REPLACENENT ~ R~8545 <br />PLANNING ACTZON: <br /> <br />OONALD E. WOODLEY, NARION CCLINTY BUILDING OFFICIAL / BY <br /> <br />,o.~* MC ~s-s~ R[~.6~-¢ OFFICE COPY <br /> <br /> <br />