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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OI~EGON 97301 <br /> <br /> PHONE: 588-5147 8;00 - 4:30 <br />24. HOUR CODE-A-PHONE: 588-7904 <br /> <br />DATE <br /> <br /> Si ERbEY. iVAN 5"¢'Y05/57707 RESl DEN fiAL <br /> <br /> 1 ~ 0 SP~O~ Ci ~ 1 5 CONT~AC~ CITY : UGB OCCL~PANT LOAD <br /> AU~VILL6 OR 9?325 <br />usb OF BUILDING AU~ViLLE NO N0 0F e~00MS <br /> <br />MAILING <br /> <br /> 113'13 MILL CREEK RD <br /> AU f4-EV i LLI- <br /> <br /> VALUA f i ON: <br />lOT 8LOCK SECTION TOWNSHIP RANGE ZONE MAP <br /> <br />55 91 5005. SF NO NO <br /> <br />RM <br /> <br />IYPE*. ~4~ILE HONE <br />CONTRAC1OR. NO. 38238 <br />sANrIAM MO~ILE H~E5 <br />11373 MiLLCR~EK RD SE <br />AU~V~LLE OR 973~5 <br />~IONE = '/69-? ~44 <br /> <br />M~iLE H~g 8~E F~ <br />~lLb H~E S1A1~ FEE <br />~ILE H~E ~rAfE SU~HA~E <br /> <br />PERNIf OR A~PLiCAFiON NO.* <br /> <br />32915 <br /> <br />lOfAL AS~EO FEE5' <br />PREVIOUs RECEIPF5 <br />lHiS RECEIPI <br /> <br />QUANflfY <br /> <br />AMOUN] <br /> ~89+25 <br /> $5_25 <br /> <br />$110_25 <br />$110.25 <br /> $o.oo <br /> <br />BALANCE DUE <br /> <br /> PAYEE: i NV01C~, <br /> RI=CEiVEO tJY: CL tYPE: CHECK ,: 0 <br /> <br />* THIS IS A VALIO pERI,lIT * THI~ PERI, iT EXPIRE~ 180 DAY~ FROM IT~ 188UE DATE. IF <br />CSf4~?RUCTION CEA.~.E~ FOR A PERIOD OF ~80 DAY~.OR IF CONSTRUOTION FA1L~ TO MEET ALL <br />P.E(~JIREM~IT~ OF ~TATE ~ AN0 I~iARION COJNTY RUILDING AND ZC~IiN6 ORDINANCES, THIS PEF.~4IT <br />~ALL BECC~6 NULL AND VOi0. <br /> <br />SEFBACKE: FR lO L~ 10 F~ 10 RR 10 ~P <br />RENARK5: r4H PLAC~4EN7 (NEEDS ~¢ERA16 PEN~¢~I FOR CARFORI") <br /> <br />PLANNING ACFiON: ~ <br />t.X)NALO E. NOODLBY. MARION CQUN1Y BUILDING OFfiCIAL / 8Y <br /> <br />FO~N~ ~ MC 15.$6 REV 4190 OFFICE COPY <br /> <br /> <br />