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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM10BEG'fON 97301 <br /> PHOi'~ 588-5147 <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A,M, <br /> <br />o¢ a registered builder. <br /> <br />Other. <br /> <br />have read and agree to the terms stated on the reverse 8ido of <br /> <br />DATE: 05/12/88 TIME: 2; 10:03p .... T~X L~T :CATEGORY: <br />OWNER: , <br /> <br /> SPARKS. BRAIN <br />SITUS ADDRESS: , CONSTRUCTION TYPE: OCCUPANCY: <br /> <br />RESIDENTIAL <br /> <br /> 150 SANTI~¢4 AVE [ C0Hf~ACT CITY: Uao: ]0oCgPANT LOAD: <br /> 0ETROI T OR 97342 ~ <br /> ,BETBo. IZ .NO <br />US6 OF BUIL01NG: ;N0 0¢ B~DR00M$ <br /> <br />1220 MONIvE)UTH ~39 <br />INDPENDNECE. OREGON 97351 <br />PHONE: <br /> <br />LOT: BLOCK: ~SECTION; <br /> <br />5 9 <br /> <br />H AMMON D <br /> <br /> SiTE NUMBER: <br /> VALUATION: <br /> <br />10 ; 5E <br /> <br />4354 <br /> <br /> 1 RS <br />150 5250.00 , SF i NO NO <br /> <br />35 <br /> <br />MAP: <br /> <br /> 105 <br /> <br />TYPEs MOBILE HOME PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />SPARKS. BRAIN <br />1220 MONMOUTH <br />INDPENDNECE. OREGON 97351 <br />PHONE: <br /> <br /> ITEM <br />MOBILE HONE FIRST WIDTH <br />FLEET E. URCHARGE -ZONE ? <br />MC~BILE HONE STATE SURCHARGE <br /> <br />8321 <br /> <br />QUANTITY AMOUNT <br /> $35.00 <br /> <br /> .75 <br /> <br />TOTAL ASSES..SED FEES $45.71 <br />PREVIOUS, RECEIPTS $45.71 <br />THIS RECEIPT; $0.00 <br />BAL'N'4OEBUE $0.00 <br /> <br />PAYEE: INVOICE NO: <br />RECEIVED BY~ E)H TYPE: CHECK <br /> <br />* THIS IS A VALID PER~IT · THIS PEF~IT [XPIRI~ 180 DAY~ FRC~4 ITS ISSUE DATE. IF <br />CONSTF~JCTION CEASES FOR A PERIOD OF 180 DAYS~OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIRE~IENTS OF STATE LANS AND I~ARIONCOUNTY BUILDING AND ZONING ORDINANCES, THIS PE~IT <br />SHALL BECO~4E NULL AND VOID+ <br /> <br />SETBACKS: FR-____ <br />REMARKS: MR REPLACEMENT <br />PLANN[NG ACTION: <br /> <br />DONALD E- ~OODLEY. MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> <br />