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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 <br />CODE-A-PHONE 4:30 P,M, - 8:00 A,M, <br /> <br />I am performing work on 8 property I own or occupy. <br /> <br />RIGNATLJRE OF APPLICANT: <br /> <br />SAN <br /> <br />56044-000 <br /> <br />CATEGORY; <br /> RES;[ DENTilAL <br />OCCUPANCY; ' <br /> <br />1017'3 KEENE LANE SE CON~HACf CI'T'Y: U~: <br />ALIMSV I I_LE OR 9?325 <br /> MARION COUNTY NO <br />U~E OF BtNLDIN~: <br /> <br />2915 HAWTHORNE <br />SALEM 9?303 <br />PHONE: 588-8889 <br /> <br /> SiTE Nur48ER: <br /> VALUA?ION; <br />SECTION~ TOWNSHIP: RANGE: <br /> <br /> ].~ 8S <br /> <br /> 33.0000 ,AC NO <br /> <br />CORNER; EFU NO <br /> <br />TYPE: MOBILE HOME <br /> <br />CONTRACTOR, NO. <br />FC4AN, SAM <br />2915 HANTHORNE <br />SALEM 97303 <br />PHONE: 588-6689 <br /> <br />PERNZT OR APPLICATION NO: <br /> <br /> ~TEM <br />MOBILE HONE F[RST NiDTH <br />HOBILE HONE ZONING SURCHARGE <br />PLEET SURGHARGE -ZONE 3 <br />~OSILE HOME STATE SURCHARGE <br /> <br />PAYEE: <br />RECEIVED <br /> <br />TOT.AL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />©UANTITY AMOUNT <br /> 1 $35.00 <br /> $'1.75 <br /> 3.84 <br /> $1-75 <br /> <br />~42.34 <br /> 42.34 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: <br />CHECK <br /> <br />: ,, TYPE: <br /> <br />~ THIS IS A VALID PERtfllT ~: THIS PEP, NIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASF..S FOR A PER[OD:~F 180 DAYS,OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREHENTS OF STATE LANS AND[vtA~ION COUNTY BUILDING AND ZONING ORDINANCES, THIS PEENIT <br />SHALL 8ECONE NULL AND VOID. ~. - <br /> <br />REHARKS: MOBILE HOME PLACEMENT R~4882 <br />PLANNING ACTION: PD <br /> <br />DONALO E- NOODLEY, MARION COUNTY BUILDING OFF;CIAL / 8Y <br /> <br />OFFICE COPY <br /> <br /> <br />