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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 />BATE: 04/'24/91 fIME~ 11~34:48 <br /> MOORE, NESLEY <br /> <br /> 205 EYERGREEN DR <br />AU~SVI LLE OR 97325 <br /> <br />S~GNATURE OF APPL. IOANT <br /> DATE <br /> <br /> TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> 5-..N <br />CONTRACT CITY UG8 <br />:AU~SV I LLE <br /> <br />NO <br /> <br />CATEGORY <br /> RE~ 1 DIgN 11 AL <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br />M&ILINO ADDRESS <br /> <br />RE~IDF_N )~ IAL A~RY 8"rk~JOYURE$ <br /> <br />EVERGREEN Iv~BILE HOME PARK <br /> <br />PHONE: SI rE NUNJgER: <br /> VALUAT I ON: <br /> <br /> 10 <br /> <br /> NO NO <br /> <br /> 11801 <br /> $1,000.00 <br />ZONE MAP <br /> <br />BUILDING PEF~iF OR APPLiCATiON NO: <br /> <br />CON1RAC'fOR, NO. 70353 <br />JACK NAArZ HO~IE MAIN'FENANCP <br />P.O, BOX 282 <br />~ViLLE, OR 97325 <br />~E: 749-2821 <br /> <br /> 31448 <br /> <br />ARCHi1 ~"r/ENGINEER, NO. <br /> <br /> I r~ OUAN {'I TY AB'1OUN 1 <br />BUILDING FEE ~17.50 <br />PLAN R~'VI P-.W $11 . 38 <br />~UILDIN~ 51ALE ,SURCHARGE $0.88 <br /> <br />TO'rALAL%SESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />~29.76 <br /> 29- <br /> $o.oo <br /> <br />BALANCE BUE $0.00 <br /> <br />PAYEE: <br />RE;CEIVED BY= PB 1YPE: CHECK ~: 0 <br /> <br />* IHiS IS A VALID PER~iT * THiS PER~IiT ~D<PIRP.~ 180 DAY~ FROM ils I~SUE DALE. IF <br />CONSrRUCFiON CE. AS~ FOR A PERIOD OF 180 OAYS, OR iF CONSTRUCTION FAILS TO HE~[ ALL <br />REQUIREMENI~ OF STATE LA~ ~'4D ~!ARioN COUNTY BUiLDiNG AND ZONING ORDINANCES, 1HiS PERMll <br />5HALL BBCO~E NULL AND VOID. <br /> <br />$£1'BACKS: FR 10 LS 25 RS 10 RR 10 SP <br />REMARKS: CARPRT/A~IN~ ........... <br /> <br />HEIr-CHI: ]'OTAL~FT: 2~0 SIO~&E~: 1 <br /> <br />DONALD E. VCOOOLE~, MARION C~NTY BUILDING OFFICIAL / BY <br /> <br />PLAN.ACI'ION: <br /> <br />FO.~ ~ MC is-ss ~E¥ 4/~ OFFICE COPY <br /> <br /> <br />