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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 EM. - 8:00 A,M, <br /> <br />SIGNATURE Of APPt. ICANT~ <br /> DATE~ <br /> <br /> 08/24/89 TIME: <br /> <br /> H IVELEY, DELSEATE <br />ADO~ESS: <br /> <br />4:2A:02p <br /> <br />CON~¥~UC~i~N ~YPE: ::' ' OCCUPANCY: <br /> <br />,E .......,~, AL <br /> <br /> 14(370 CESSNA ST <br />AU RD RA <br /> <br />OR 97002 <br /> <br />NE <br /> <br /> c-a~tnA~'F~n-'F: I CGe; , O~UPANTLOAD: <br /> <br />~¢ARION COUNTY NO <br /> NO. OP BEDROOMS <br /> <br />PO $0x 565 <br />~,)~USONVILLE OR <br />PHONE'_ 682,-5855 <br /> <br />97070 <br /> <br />LOT: BLOCK: SEOTION: TOWNSHEP: <br /> <br />SUNSET MOBILE <br /> <br />S[TE Nt.~BER: 4986 <br />VALUATION: <br /> <br />MAP: <br /> <br />100 <br /> <br />AREA: 02 UNITS' 4. S iRREG. LOT: ! I~ CORNEP~: <br /> 7000. O0 SF NO NO <br /> <br />3 <br /> <br />?YPE~ MOSIL~ HOME <br /> <br />CONTRACTOR, NO. 14875 <br />WESTERN LIVING <br />4835 PORTLAN0 ROAD NE <br />SAL. Et~, OREGON 9?305 <br />!:}HONE; 399'~7353 <br /> <br />PERMIT OR APPLICATION NO~ "¢:,.~ ~ <br /> <br /> TTEM " <br />MOBILE HOME FIRST ¼tIDTH ': <br />MOB~L.L~ NOME ADDTL. WIDTH <br />MOBILE: HO)ME ZONING SURCH,AR~E ,: <br />FLEET SURCHARGE ~ZONE $ <br />MOBILE H(~4E STATE SURCHAR(~E <br /> <br />TOTAL ASSESSED FEES <br />pREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br />1 $70.00 <br />! SS0.00 <br /> $5.00 <br /> $7.88 <br /> $5,00 <br /> <br />$117_88 <br />$117.68 <br /> $0.00 <br /> <br />BALANCE DUE <br /> <br />PAYEE: , i: : : ,, R~CEIRT NO <br />RECEIVED SY: ~ TYPE: ' C~ECK <br />:~ THIS IS A VALID PEI:~IIT ~,:' ~I:~:'::PEEMIT ~PIRES 180 ~YS F~ <br />~ST~CTI~ O~ FOR A ,'PERIOD:OF 180 DAb)OR IF ~S~OTI~ FALLS TO ~E~ ALL <br />RE~IR~T~ OF STATE ~: ~D ;~RI~ 'C~N~ BUILDING ~D Z~ING ORDIN~O~. ~IS PE~IT <br />~ALL BEdE NULL ~D VOID,: <br /> <br />REMARKS: MOB I LE HOME PLACEMENT R:~? 919 <br />PLANNING ACTION; <br /> <br />DONALD E. WOODLEY, MARION COUNTY BLI~LDiNO J,=n-=~-T,.,~.,AL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />