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MARION COUNTY BUILDING INSPECTION <br />SENATO¢~ BLDG NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 PM - 8::00 AM <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> DATE __ <br /> <br />owEe~T E: 04/07/89 TTME: <br /> <br /> WOOLSEY, 0UANE <br />51TUS ADDRESS <br /> <br />4=34:48p <br /> <br />CONSTRUCT[ON 'IYPE OCCUPANCY <br /> <br />RES I DEN'" I ~ L <br /> <br /> 11457 MCCLELLAN RD <br /> AUMS¥ I L LE <br />USG OF ~UILDING <br /> <br />OR 9. 325 <br /> <br />SE <br /> <br />vIARION COUNTY NO NO OF BEDROOMS <br /> <br />SAME <br /> <br />PHONE: '749-1573 <br /> <br />SECTION <br /> <br />TOWNSHIP <br /> <br /> NEST STAYTON LOTS 3-8 <br /> <br />SITE NUMBER: 4195 <br />RANGYALUATION: ZONE MAP <br /> <br /> DEPTH <br /> <br />150 <br /> <br /> AREA <br /> <br />275 <br /> <br />J 2 UN~TS <br /> <br />NO NO <br /> <br />TYPE: MOBILE HOME <br /> <br />CONTRACTOR, NO. 38238 <br />SANTIAM VALLEY HOMES <br />11373 MILLCREEK RD SE <br />AUM~VILLE OR 9?325 <br />PHONE: <br /> <br />PERMIT OR APPLICATION NO: <br /> <br /> ITEM <br />MOBILE HOME FI~T WIDTH <br />MOBILE HOME ADDTL_ WIDTH <br />MOBILE BOME ZONING SURCHARGE <br />FLEET SURCHARGE -ZONE 3 <br />MOBILE HOME STATE SURCHARGE <br /> <br />P~YEE: <br /> <br />14934 <br /> <br />TOTAL ASSESSED FEES <br />,PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> 1 <br /> <br />AIx/EtUNT <br /> $?0,00 <br /> $30-00 <br /> $5.00 <br /> 3.84 <br /> 5,00 <br /> <br />$113_84 <br /> <br /> ~0-00 <br /> <br />BALANCE DUE $0,0,~) <br /> <br />RECEIPT NO; <br /> <br />i(i (~i~ iVE~) SY- ~* TYPE: CHECK ~: <br /> <br />* THIS IS A VALID PER,lIT ~ THIS PEENIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASE~ FOR A PERIOD OF 180 DAYS,DE IF CONST~JCTION FALLS TO MEET ALL <br />RE(~JIRE~ENTS OF STATE ~D MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PE~4IT <br />SHALL BECO~1E NULL AND VOID. <br /> <br />SETBACKS: FR~_~__ <br />REMARKS: MO HOME <br />P,,ANNING ACTION: <br /> <br />©ONALD E- NOOBLEY, <br /> <br />M,'"'RION COUNTY BUILDING OPFICI~,L / BY <br /> <br /> <br />