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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 $88-5147 <br />CODE-A-PHONE 4:30 P.M, - 8:00 A,M. <br /> <br />DATE: 06/06/88 <br /> NARD, PETE <br /> <br />of a ~egistered builder, <br />The work will be performed bY a registered builder. <br />Or,ur .......... <br /> <br /> 19811 OLNSTEAD RD <br />AURORA <br /> <br />USE OF <br /> <br />TIME: 1:15:30~ <br /> <br />SIGNATURE OF APPLIOANT~~~ <br /> <br />MAILING ADDRESS: <br /> <br /> NE CONTRACT CITY Ue8 ~OO~UPANT LOAD: <br />OR 9?002 <br /> ~ARION COUNTY ~O f 2 <br /> <br /> SAME <br /> <br /> PHONE: 6?8-2656 <br /> <br />LOT: BLOCK: <br /> <br />'TYPE: NOBILE HONE <br /> <br />CONTRACTOR. NO. 14922 <br />CENTRAL OREG~ NEbB[LE <br />285 SO.PACIFIC HIGH~AY <br />NOODBURN, OREGON 97071 <br />PHONE: 981-3141 <br /> <br /> SITE NUIV~ER: 4589 <br /> VALUATION: <br />SECT ON TOWNSHIP RANGE ZONE MAP' <br /> 19 4S 1N EFU ~ 5 <br /> <br /> 20.0000 AC NO NO <br /> <br />PERNIT OR APPLICATION NO: 9008903 <br /> <br /> ITEM <br />M08ILE HOME FIFd~T WIDTH <br />N~ii~ILE HONE ADDTL. WIDTH <br />M0gILE HONE ZONING SURCHARGE <br />FLEET SURCHARG£ -ZONE 6 <br />IvlOBILE HOME STATE SURCHARGE <br /> <br />QUANTITY ANOUNT <br />1 $35.00 <br />1 $15.00 <br /> $2.50 <br /> $7.68 <br /> $2.50 <br /> <br />TOTAL ASS~SSEDFEES $52.68 <br />PREVIOUSREOB~PT~ $0.00 <br />THIS RECEIPT $62.68 <br />BALANCE'DUE $0.00 <br /> <br />PAYEE: WARD, P~TE ~ ' REOEIPT NO: 9570 <br />RECEIVED BY: pb ~~ ..... ~,...: TYPE:OK CHECK ;~-~. 675 <br /> THIS I$ NOT A F~tMIT. THIS APPLICATION MUST 60 THROO6H: A REVTEN PRO~E~S ~ERE THE <br />FOLLOWING MUST BE COMPLB'rED. IT ~,~ 'THE RESPONSIBILITY OF ~I'HE::APPLIOANT TO ASSURE THAT <br />ALL NEC BSSARY IN FORMATI C~4 HAS I~E I~N PROV, DED. <br /> <br />REMARKS: H88'ILE HONE REPLACEMENT FOR HARDSHIP PURI:K~ES R¢~5924 <br />PLANNING ACTION: CU ?9-64 <br /> <br />DATE <br />¢ SP- <br /> <br />OFFICE COPY <br /> <br /> <br />