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MARION COUJ~TY_~_- BUILDING INSPECTION <br />$~NATOR' BLDG, NO. 225 <br />220 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 F~M. - 8:00 A,M. ~, <br />work on a roperty i own or occupy,~__~,. / <br /> <br />ow~TE: 08/16/89 TIME: 10=08:24a <br /> <br />s HIVELEY OELBEATE <br />ITUS ADDRESS: <br /> <br /> CATEGORYI <br />TAX hOT: <br /> <br />RE.. IDLN F'[AL <br /> <br /> CONTRACT CITY: UGB: ..... ~tJPAN~ LOAD: <br />14070 CESSNA ST NE <br />AURORA OR 97002 <br />use o¢ SUILDING: MARION COUNTY NO NO. OF BEDROOMS: <br /> <br /> ~'~¢,,,~'- SUNSET MoB'rLE PARK <br /> PO 8OX 585 <br /> NILSONVILLE OR 9?0?0 <br /> PHONE: 682-5855 SITE NUMBER: 4986 <br /> <br />LOT: BLOCK: SECTION: TOWNSHIP: RANG~ALUAT T ON ;. ZONE: MAP: <br /> <br />WIDTHI 5 DEPTH: "~ AREA: 82 UNITS. <br /> ?0 100 '7000. 00 SF NO NO <br /> <br />TYPE: MOBILE HOME <br /> <br />CONTRACTOR, NO. 14876 <br />WESTERN LIVING <br />4835 PORTLAND ROAD NE <br />SALEM, OREGON 9?305 <br />PHONE; 393-?353 <br /> <br />PERMIT OR APPLICATION NO~ 90181?2 <br /> <br /> I TEl"4 <br />MOBILE HOME FIRST HIDTB <br />MOBILE HOi"4E ADOTL. I~IDTH . <br />MOS,'[LE HONE ZONING SURCHARGE: <br />FLEE'/' SURCHARGE '-ZONE 8 <br />MOBILE HOME STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PReViOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AFIOUNT <br />1 $?0.00 <br />1 $80.00 <br /> 5.00 <br /> 7.88 <br /> 5.00 <br /> <br />$117.88 <br /> $0.00 <br />$117.68 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: HIVELEY, OELBF..,.~.TE F:iECE[PT NOt 19282 <br />RECEIVED BY:.~4i~-' ~./~:~__ , :'. ................... TYPEt OK CHECK ~: 231 <br /> <br />~LL~ING ~ST BE ~PL~ED.: :~I~ IS THE E~SIBILI~ OF ~E APPLI~T TO ~RE ~AT <br />AEL N~ARY INFO~TI~,H~,,SE~ P~VIDED. <br /> <br />SEPT'C: BY___~ ..... ;ATE_~;~_:~_:_' C,TY JUR,SO,CTZON, 8Y ........ DATE ........... <br /> <br />REMARKS: MOBILE HOHE PLACEMENT R~7919 <br />PLANNING ACTI~: <br /> <br />.~',~cm,,6 REV~/~ OFFICE COPY <br />/ <br /> <br /> <br />