Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SEI~TOI~LDG. NO. 225 <br />220'HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 RM. - 8'00 A,M. <br /> <br />I am a registered builder OR ( ) the authorized representative SIGNATURE OF APPLICANT,. <br />Of a registered builder, <br /> <br />ow~TE: 88/22/89 TIME: ~0:55:398 <br /> ADAIR, RICHARD <br />SITUS ADDRESS: <br /> <br />56272-000 <br /> <br />RESI DBNTI,AL. <br /> <br /> 9823 MILL CREEK RD <br />AU~ISVIBLE <br /> <br />OR 9?325 <br /> <br />SE <br /> <br />~tARION COUNTY NO <br /> <br />9863 MILL. CREEK RB SE <br />,AUMSVZLLE, OB <br />PHONE: 749-2991 <br /> <br />5,50000 <br /> <br /> SITE NUMBER_. <br /> VALUATION: <br /> P~ANGE: <br /> <br />AC NO <br /> <br /> 8179 <br /> <br />CORNE~: SA 48 <br />NO <br /> <br />'TYPE: MOBILE HOME PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO_ AMERICAN <br />AMERICAN MOBILE HOME <br />30495 H~CY 34 <br />ALB.A~IY, OREGON 97321 <br />PHONEr <br /> <br /> ITEM <br />MOBILE HOME FIRST WIDTH <br />MOBILE HOME ADDTL_ WIDTH <br />MI~ILE HOME ZONING SURCHARGE <br />eLEET SURCHARGE -ZONE 9 <br />MOBILE HOME STATE SURCHARGE <br /> <br />9018318 <br /> <br />TOTAL A~ESSEB FEES <br />PRE"VIOU~ RECEIPT~ <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br />~ $ ?0,80 <br />~ $30, O0 <br /> $5- 00 <br /> $3.84 <br /> $5.3o <br /> <br />$ ! 13, '~4 <br />$1 ! 3.84 <br /> <br />[IALANCE ]LIE $9 0( <br /> <br />PAYEE: ADAIR, RICHARD RECEIPT NO; ]9432 <br /> <br />RECEIVED BY: c~ ~ TYPE; CK CHECK ~: 3231 <br /> <br />*' THIS IS NOT A PEFg4IT. THTS APPUICATI~ ~ST ~ ~ A R~I~ P~ ~ERE ~E <br />~LL~ING ~ST BE ~PL~ED.,. IT ,IS ~E, RES~SIBILI~ OF ~E APPLIC~T TO ~RE THAT <br />ALL N~RY INFO~ H~ 8E~:,p~IDED. <br /> <br />REMARKS~ REPLACENENT NH R~?715 <br />PLANNZNG ACT]ON; <br /> <br /> <br />