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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:: 588-5147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />Other <br /> <br /> OAfE: 11/115/90 f,[ME: 13:~,0;1~ <br />OWNER I~qAR'T IN, EIEL~E <br /> <br /> 9218 ~iAYFON ROAD <br />AUM'JV ! LLE <br /> <br />USE OF BUILDING <br /> <br />MAILING <br /> <br />F~iONE; '759-5385 <br /> <br /> 11725 <br />VALUA f l ON: <br /> <br />OR 97325 CONTRACT CiTY : UGE~ <br /> f~ARION CfjLIN [ Y NO <br /> <br />CATEGORY RE$I DEN f IAL <br /> <br />OCCUPANCY <br /> <br />MAP <br /> <br />IYPE; ~OBIL,F,. MOFIE PEN~IT OR APPLICAIlON NO: 90287?2 <br /> <br />CONIRACIOR. NO. ~A~2 <br />VAL.U~ ¢¢FdSILE HOME~ <br />F>O 8OX 1012 <br />CLACKAIVIA.5~ ORE 97015 <br />PHONE: 7?7-9797 <br /> <br /> lIEN <br /> <br />MOBILE HOME 51A'IE FEE <br />MOBILE HOI~E ZONING <br />PLEE'I ~R~A~E -Z~E <br />~IL8 H~E 8;AFE SUrNAmE <br /> <br />TO')'AL ASS~EQ <br />pR~-~¢ IOU$ RF-"'CEil p f:S <br />THIS RE(.EI Pl <br /> <br /> BALANCE UUE <br /> <br />PAYEE: ~RIiN, ~IE <br /> <br />fC~Js:O4fI1Y Aft~OUNI <br /> $89.25 <br /> $15.75 <br /> 15.~5 <br /> 3+84 <br /> 5.25 <br /> <br />$119.34 <br /> $o.o0 <br />$119.34 <br /> <br />$0.00 <br /> <br />RECEiP) 30395 <br />C~F_JCK ~: 0 <br /> <br /> * THiS I$ NOT A PERI~lJ[T. THI~5 APPLICATION FlUenT 60 THRCU(,~"I A REVIEW PROCE,5~ WHERE THE <br /> ~LE~ING ~r B~ ~PLETED. IT I~ THE R~SiBILiTY OF THE APPLI~T TO ~RE THAT <br /> ALL NEC~ [NFO~T[~ H~ ~E~ P~IOEO. <br /> <br /> SEPtiC: BY ..................... C~Y JURJSD~,C3'~= BY DAIE <br /> P~NNING AC~ION:~6 ~o-R{ <br /> <br />FORM ~ ~C l~S~ REV 4/~ OFFrCE COPY <br /> <br /> <br />