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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLD'G NO, 225 <br />220 HIGH STREET NE <br /> SALEM OREGON 97,301 <br /> <br /> PHONE'.'. 588-5147 8'.'.00 - 4.30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />of a registered builder. <br /> <br />Other <br /> <br />ow ~i~Bf E: 10/31/90 rIME: 9:53.'11 <br /> <br /> ~v~ 1"1 '~'; i DT <br />AUMSVi LLE OR 9't, 325 <br />USE OF BUILDING <br /> <br />~- <br /> <br /> TAX LOf <br /> CONSTRUCTION TYPE <br /> CONTRACT CITY <br /> <br />AU ViLE ' <br /> <br />UGB <br /> <br /> NO <br /> <br />CATEGORY <br /> <br />OCCUPANCY RESi DEN [ iAL <br /> <br /> 4305 GARY SI <br /> K['EIZER, OR 9'7`303 <br /> PHONE: 390-226? <br />LOT BLOCK <br /> <br /> EVERSREEN IvrOBiL~ HOME PARK <br /> <br />~i'FE NUft~BER: 11614 <br /> <br />UNITS <br /> <br />~F <br /> <br />TYPE: ¢~7¢ILE HOME PER~IT OR APPLiCA'IION NO: <br /> <br />CONfRAC:IOR, NO. 14922 <br />OP.:N'I RAL OREGON IvIC,"8ILE <br />285 ~,PACIFJC HIGH~AY <br />VFOOC,15URN, OR~C-,(.,~N 9'f0'/1 <br />PHONE: 981~$141 <br /> <br />PAYEE: GARIBAY, <br /> <br />§028z~45 <br /> <br />1"O TAL ~E~O <br />PREVIOUS <br />tHIS RECEIP~ <br /> <br />(~)UAN f i lY <br /> <br />AIVlOUN f <br /> I89.95 <br /> 15. F5 <br /> $3.84 <br /> <br />$114.{J9 <br /> $o.o9 <br /> <br />BALANCE DUE;,. $0.09 <br /> <br />iNVOiCE 300~0 <br /> <br /> RP.-OEiV~O BY." PR ............................... IYPE+. IN CHECK ~*- 0 <br /> <br />~ THIS iS NO1 A P~R~41T+ THIS APPLICATION Nt.k~T 60 THROUGH A RE¥1E~ PROO~ ~ERE THE <br />FOLL~iN~ ~Sf BE C~PLETED+ iT IS THE ~iBILITY OF THE APPLiC~I TO ~RE THAT <br />ALL NEO~RY ~NPO~TZ~ H~ BE~ P~ZBED. <br /> <br /> P~N REVIEW: BY%~ DAlE tt/~ /.~ ~ ~'~' ~8~¢~ ~¢¢¢ <br /> S~PIIC: BY OAiE CITY JURiSDICTiQN: BY OAfE' <br /> Z~ING: BY DAlE ~EiBAC~: FR 10 LS 10 ~ lO RN lO 5P <br /> <br />PLANNING ACTION." <br /> <br /> OFFICE C(~PY ", <br />FORM # MC 15.56RSV <br /> <br /> <br />