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MARION COUNTY BUILDING INSPECTION <br />SENATO.R BLDG NO 225 <br />· 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE' 888-5147 8:00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />OWNER <br /> <br /> 0ALE: 11/17/90 riME: 1'1:30:16 <br /> <br />u s~Al~t[~ OR 97325 <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> 57706/5'F7'07 <br /> <br /> CONTRACT CITY UGB <br /> <br />AUM~VI LLE NO <br />SUBDIVISION <br /> <br />LoTPHONE: '749-%64~k SECTION TOWNSHIP ~lNfbli NU~ER: zo~ 1 t591 <br /> VALUAI IL,~N: <br /> <br /> I1 25 8S 2N ~ ~ <br /> <br />CATEGORY <br /> <br />'OCCUPANCY <br /> RgSIDENIiAL <br /> <br /> OCCUPANT LOAD <br /> <br />55 11:] 6215. SF NO NO <br /> <br />MOBILE HOI~E <br /> <br />CONfRACIOR, NO. 38238 <br />SANIIAM MOBILE HOI~ES <br />1157~ MILLCREEK RD ~E <br />AUf~SViLLE OR 97325 <br />PHONE: 769-'1744 <br /> <br />rciOS[LE HOME 8A5~ FEE <br /> <br />~O~lLe HOME ~lAlE SUR~ARrgg <br /> <br />PEF~Ilf OR APPLICATION NO: <br /> <br />283~5 <br /> <br />1ORAL ~ED <br /> <br />AMC~Nf <br /> $89.25 <br /> $15,75 <br /> <br /> $5.25 <br /> <br />14.09 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: INVOICE <br /> <br /> ~ECE/VED BY: ¢'1 TYPE: CHECK ~ 0 <br /> <br />* TH~ IS A VALID PER,lIT * THIS PER,liT P.3<PiRES 180 DAYS FRO~ ITS iSSUE DATE. IF <br />~SF~CT1~ C~ES FOR A PERIOD OF 180 ~Y~,OR iF ~T~CTi~ FA~ TO MEET ALL <br />RE~I~T~ OF STATE ~ ~D ~Ri~ ~NTY BUILDING ~D Z~ING ORDiN~C~, THiS PE~I[ <br />~ALL B~E NULL ~D <br /> <br />5E1BACKS: FR 0 LS 10 R5 ~0 RR.15 SP ..... <br />RE~ARKS: rcCDBILE H(~E PLACEi~lEN1' <br /> <br />PLANNING ACIlON: <br />DONALD g. NOODLEY. MARION COUN'~'Y BUILDING OP'FICIAL / BY <br /> <br /> <br />