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MARION COUNTY BUILDING INSPECTION <br />SENATO~,~LDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 430 PM - 800 AM <br /> <br />DATE: 04/25/89 TIME: 1;57:28p <br /> <br /> LANKFORD, BOB R. <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> DATE <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />RESIDENTIAL <br /> <br /> 11692 WARSLER LANE NE <br />AURORA OR 97002 <br /> <br /> CONTRACT CiTY VGB <br />MARION COUNTY NO <br /> <br />OCCUPANT LOAO <br /> <br /> NO OFBEDROOMS <br /> <br />6645 ~ NYBERS RD <br />TUALATIN, OR <br />PHONE: 692-5513 <br /> <br />10 19 33 <br /> <br />SUBDIVISION <br /> <br />CENTURY MEADOWS PHASE <br /> <br />3S <br /> <br />SITE NUiVE{ER: ?069 <br />VALUATION: <br />RANGE ZONE MAP <br /> <br /> 1N AR 1 <br />IRREG LOT CORNER <br /> NO NO <br /> <br />TYPE; M08ILE HOME PERiVlIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 47019 <br />WILSON, WILBUR <br />18025 S HARDING <br />OREGON CITY, OREGON 97045 <br />~HONE; 631-3051 <br /> <br /> ITEM <br />IvKi~ILE HOME FIRST WIDTH <br />MOBILE HOME ADDTL. WIDTH <br />Iv~OBILE HOME ZONING SURCHARGE <br />FLEET SURCHARGE -ZONE 6 <br />MOBILE HOME STATE SURCHARGE <br /> <br />PAYEE: AENMIRAL NO~HONES <br />RECEIVED BY: PR .,._~/V----" <br /> <br />9015438 <br /> <br />QUANTITY AMOUNT <br />I $70.00 <br />1 $30.00 <br /> $5.oo <br /> $7.68 <br /> $5_oo <br /> <br />TOTAL ASSESSED FEES <br />· PREVIOJS RECEIPTS <br />THIS RECEIPT <br /> <br />$117.68 <br /> $0.00 <br />$117.68 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: 16394 <br />TYPE= OK CHECK ~: 1494 <br /> <br />* THIS 'rS NOT A PERNIT. THIS= APPLICATION MtJST 60 ~'rlROU6H' A:REVIEH PROCESS ~HERE THE <br />FOLLOI~ING I~II. IST BE COMPLIcFt~). == I'T~ ='~,S '['HE, RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFOI:~,IATION HAS BEEN PROVIDED. <br /> <br />SEPTIC: BY DATE CITY JURISDICTION: BY ........ DATE ......... <br /> <br />REMARKS: FH R:~7316 <br />PLANNING ACTION: <br /> <br />FORM · MC lb-~6 REV 1FU8 OFFICE COPY <br /> <br /> <br />