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MARION COUNTY BUILDING INSPECTION <br />SENATOI~ 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 />'l HO~, M iC'HAEL <br /> <br /> 10024 WI'AEACRE LANE NE <br />AURORA OR 9'7001 <br /> <br />USE OF BUILDING <br /> <br />f4ARiON COUNI Y <br /> <br />UGB <br /> <br /> NO <br /> <br />CATEGORY <br /> RESI DEN T IAI. <br /> <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br /> f4081LE HOf4E <br />MAILING ADDRESS SUBDIVISION <br /> <br />~E <br /> <br />PHQNEt 6?8-2?68 SITE NU~ER: 13074 <br /> VALUA f tON: <br /> <br /> 140 14? :)0580. SF NO NO <br /> <br />fYP~: ~[Lb HOME <br /> <br />CON f'RAC f'OR, NO. <br />1HOMP~ON, ~4iCHAEL <br />SAME <br /> <br />PgR2~I'I OR APPLICAIION NO: <br /> <br />PHONE; 678-27~)6 <br /> <br />MOBILE HOM~- I~A~E FEE <br />~BiLE H~4E SLATE FEE <br />Mfg~ILg HOME ZONING ~JRCHARGE <br />MOBILE HO~E SIA1E SURCIHARGE <br /> <br />tOtAL AS~EO FEE8 <br />PREVIOUS RECEiPIS <br />tHIS RECEIPt <br /> <br />QUANTiIY <br /> <br />$89.25 <br /> 5.25 <br /> <br />$115.50 <br />$115.50 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEiP[ <br /> <br /> RECEIVED BY: ¢1 1YPE: CHECK ~: <br /> <br /> * THIS IS A VALID PERNiT * THiS PER,lIT I~XPIRE~ 180 DAYS FF~I iTS I.~UE <br />~8T~T~ C~ F~ A PER/OD OF 180 ~.OR IF ~T~CT]~ FA~ TO ~T ALL <br />~IR~T~ OF STATE ~ ~D ~Ri~ ~N~ BUI~IN6 ~D ~1N60RDIN~C~, THIS PE~iT <br />~ALL B~E NULL ~D VOID. <br /> <br />FORM # MC 1~56 REV 4/~ OFFICE COPY <br /> <br /> <br />