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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 />SIGNATURE OF APPLICANT <br /> <br /> OAT'E; !2/19/90 riME: 15:11:33 <br />OWNER <br /> <br /> NICHOL, GLEN E. <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />56363-000 <br /> <br /> 8420 HO~IS'I RD <br />AUM~VI LLE OR 97325 <br /> <br />USE OF BUILDING <br /> <br /> CONTRACT CITY UGB <br />MARION COUNI Y NO <br /> <br />MAIL,,ING ADDRESS <br /> <br />9?48 BAIF~ RD SE <br />AUMSVILLE, OR 97325 <br />PHONE: 585-1782 <br /> <br />1 <br /> <br /> SiTE NUl'a8 £R ~ <br /> VALUAT iO'N: <br /> <br />83 lW <br />AG: YES <br /> <br /> RE$i DEN ~ IAL <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br /> 11405 <br /> <br />ZONE MAP <br /> <br /> AR 48 <br />CORNER <br /> NO <br /> <br />TYPE: fcfOEJk. E HOBI~ <br /> <br />CONTRACTOR, NO. 46205 <br />PRU! [f ~'RAN~FER iNC. <br />PO BOX 4?6 <br />L~ANON, ORE 9?355 <br />FTtONE., 451-1795 <br /> <br />PEFg'~IlT OR APPLICA"IION NO: <br /> <br />I rEM <br />MOBILE HOME BA~E FEE <br />MO~ILE HOME SIAIE FEE <br />f~J'BILE H(~E Z~iNG ~HARGE <br />FLEE1 ~HA~ -Z~E 3 <br />~ILE H~E STA~E <br /> <br />PAYEE; <br />RECEIVEO BY: pr <br /> <br />28241 <br /> <br />TOTAL A~4~E~,~EO FEES <br />P~IOU$ RECEIPTS <br />1HIS RECEIPT <br /> <br />CTJANTITY <br /> 289.25 <br /> 15 <br /> $s.25 <br /> $3.84 <br /> $5.25 <br /> <br />$119.~4 <br />$119.~4 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEiP~ <br />TYPE: CHECK ~: 0 <br /> <br />* THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 180 DAYS FR(~t iTS I,~SUE DATE. iF <br />CONSTRUCTION CP. AS~."~ POR A PERIOD OF 180 DAYS,OR IF CONSTRUCTION FAiL~ TO MEET ALL <br />REI~JiREMENT$ OF STATE LAH~ AND MARION COUNTY BUILDING AND ZONIN~ ORDiNANCP-~, THIS PERMIT <br />,SHALL BECOME NULL AND VOID. <br /> <br />OFF[CE COPY <br /> <br /> <br />