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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 /> DATE: 12/18/91 'l'ir4E; 13;20;45 <br /> BANT I AJ~I HOMES <br />SITUS ABDRESBi <br /> <br />SIGNATURE OF APPLICANT: <br /> DATE: <br /> <br /> TAX LOT: <br /> <br /> CONSTRUCTION TYPE: <br /> <br /> 320 EVER'GREEN DR <br />At ~SV~LLE OR 97325 <br /> <br />USE OF BUILDING: <br /> <br />3?CONT~ACTClT~Z <br /> :AUMSViLLE <br /> <br />MAILING ADDRESS: <br /> <br />R~.~ i E)EN'F IAL ACC~Y S:f:N1JCTUR~ <br /> SUBDIVISION; <br /> <br />5??06-000 <br /> <br />5-N <br /> <br /> NO <br /> <br /> CATEGORY: <br /> RES I DEN l' I AL <br /> <br /> OCCUPANCY; <br /> <br /> M-'I <br />,OCCUPANT LOADz <br /> <br />NO OF BEDROOMS: <br /> <br />EVERGREEN MOBILE PARK <br /> <br />PHONE: <br /> <br /> SiTE NURSER: 14704 <br /> VALUA T I ON: $3,120.00 <br /> , BLOCK; BE~TION: <br /> TOWNSHIP; RANGE; ZONE: MAP: <br /> <br /> 25 8S 2~ ~ <br /> UNITS: <br /> IRREG. <br /> LOT: <br />55DEPTH; 85 4-675. BP' NO : NO <br /> <br />'fYPE; BUILDING PER~4i'T' OR APPL1OA'flON NO: <br /> <br />CONTRAC'F'OR, NO. 38238 <br />[~nie"t L Carver <br />11373 Nfl-Il Cmeek Rd <br />A,Jrrr~vi"l']e, 9?325-0000 <br />PHONE: 769-?'F44 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN R~¥IEN <br />BUiLDiNG STATE SURCHARGE <br /> <br />PAYEE: <br /> <br /> 37411 <br />ARCHII'EC'I'/gNGINEER, NO. <br /> <br />TOTAL AS~E,.'S~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />(2'UANTiI'Y <br /> <br />28.93 <br />$2_23 <br /> <br />~75.66 <br /> ?5.86 <br /> $0.oo <br /> <br />BALANCE OUE $0.00 <br /> <br /> RECEIVED BY: DM2 TYPE; CHECK ~; 0 <br /> <br />~ ]'HIS iS A VALID PEP341T ~ THIS PEF~IiI' EXPIRES 180 DAY~ FROf4 iTS iSSUE DATE. 1F <br />OONS'f'RUC'rION CEASES FOR A PERIOD OF 180 DAYS, OR iF CONSTRUClION FAILS 'f'O MEET ALL <br />REQUIREMENTS OF STATE LANS AND ff~RION COUNTY BUiLDiNG AND ZONING ORDINANCES, THiS PERMIT <br />~ALL BECOME NULL AND VOID. <br /> <br />SE'f'SACKS= FR 10 LS 10 RS 10 RR 10 SP <br />REr, IARKS~ CARPOR'f ....................... <br /> <br />HEIGHT: 11 f'OI'AL rSQ Fl': 312 STORIES: <br /> <br />DONALO E_ NOOOLEY. IVlARION COUN'rY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />