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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLD~, 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 />I 8m performing work cfi a ~roperty t owf'~ or occupy <br /> <br />of a registered builder <br /> <br />°w~rE: 10/31/90 lIME: 9: 59.~ 08 <br /> <br />S~TUS AODRe~IARiBAY, JEECJS <br /> <br />CONSTF~UCTION TYPE OCCUPANCY RESIDEN f ZAt <br /> <br /> CONTRACT CITY <br />200 11tH sf -- 3 <br /> AUIVifCV i L L E <br /> <br />UGB <br /> <br />NO <br /> <br /> 4305 GARY 51 <br /> KEIZER, OR 97303 <br /> PHONE: 390-2267 <br />LOT ~IOCK <br /> <br />SECTION TOWNSRIP <br /> <br /> EV[R6REEN M(~ILB HOtflE PARK <br /> <br />5iFE NU~ER: 11514 <br /> <br />DEPTH AREA UNITS <br /> <br />IRREG LOT CORNER <br /> <br />PER~I'r OR APPLICATION NO: <br /> <br />CON[RACIOR, NO. 14922 <br />CENTRAL OREGON MOSILB <br />295 SO,PACIFiC H~GHNAY <br />WOO[,~URN, OREGON 97071 <br />PHONE: 981~3141 <br /> <br /> iTEM <br />MOBILE HOf~E ~ENER ANO ~A1ER CONNECTION <br />FLEE~ SURCHARGE -ZONE 3 <br />PLUMBING ~';A[E SURCHARGE <br /> <br />(~JANflI'Y AFE)UNI <br /> 1 <br /> $3.84 <br /> <br />IOTAL .~SS8~ED FEE~ <br />PREVIOUS ~ECEiPIS <br />THIS RECEIPI <br /> <br />$30.09 <br /> <br />$30.09 <br /> <br />BAIJ~CE DUE $0.00 <br /> <br /> R~CEZYEO BY: PR-~,~'/'[--~- TYPE: CK C~EOK ~: 4592 <br /> <br />* THIS I8 NOT A PE~iT. THIS APPLI~TI~ ~ST ~ TH~ A R~I~ P~ ~ERE THE <br />FOL~ING ~ST BE ~PLETED. iT iS THE R~SIBiLITY OF THE APPLIC~T TO ~RE THAT <br />ALL NEC~RY iNFO~TI~ H~ BE~ P~IDEO. <br /> <br />PLAN RE¥1E~: 8Y <br /> <br />RE'MARF,5: W/S Cr..YNN RIt33'TB <br /> <br />DATE ..................... <br /> <br />ClIY ,JURiSDICI'IO'N: BY <br /> <br />OAIE <br /> <br />OFFICE C~PY <br /> <br /> <br />