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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 430 PM - 8 00 A M. <br /> <br />owN~TE~ 98/14/89 TIME: <br /> <br /> HENDRICKS, WILLIAM <br />SITUS ADDRESS <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br />MARION COUNTY NO <br /> <br /> 769 STEINKAMP RD <br />AUIVLSV'I LLE <br /> <br />OR 97325 <br /> <br />SE <br /> <br />MAILING <br /> <br />0ATEGOHY <br /> <br /> RES I DEN T I AL <br /> <br /> 3 <br /> <br /> 12238 SUBLIMITY ROAD SE <br /> SURLIMITY, OR 9?385 <br /> PHONE; ?89-6243 <br />LOT 8LOOK SECTION <br /> <br />WIDTH OEPTH AREA <br /> <br /> TOWNSHIP <br /> <br />2.5OOOO AC <br /> <br />SITE NUMBER: <br />RANG~VALUAT I ON ~ <br /> <br /> NO <br /> <br /> MAP <br /> <br /> AR 48 <br />NO <br /> <br />TYPE: MOBILE HONE PERMIT OR APPLICATION NO~ <br /> <br />CONTRACTOR, NO. 490? <br />KILROYS NOBILE HOME <br />2230 NO PACIFIC HWY <br />WOODBURN, OREGON 97071 <br />~HONE: 3~1--6820 <br /> <br /> ITEM <br />MOBILE FiOf4E FIRST WIDTH <br />~BILE HOME ADDTL. WIDTH <br />MOBILE HOME ZONING SURCHARGE <br />FLEET SURCHARGE wZONE 3 <br />MOBILE HOME STATE SURCHARGE <br /> <br />17775 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br />1 $70.00 <br />2 $60.00 <br /> $6.50 <br /> SS.S4 <br /> $8.50 <br /> <br />146,84 <br />146.84 <br />$0. oo <br /> <br />BALANCE DUE $o. o0 <br /> <br />RECEIPT NO: <br /> <br />RECEIVED BY: cq TYPE: CHECK ~. <br /> <br />~ THIS IS A VALID PERMIT · ~IS PE~iT ~PIR~ 180 DAYS F~ ITS I~E DATE. IF <br />~ST~OTI~ C~ FOR A PERIOD OF 180 ~,OR IF ~ST~OTI~ FAI~ TO ME~ ALL <br />REdIReCTS OF STATE ~ ~D ~RI~ ~N~ BUILDING ~D Z~ING ORDIN~O~, ~IS PE~IT <br />~ALL BEdE NULL ~O VOID. <br /> <br /> SEI8 CKS~ PR-____ LS- <br /> <br /> REMARKS; TRIPLE WiDE MO~ILE HONE <br /> PI_ANNZNG ACTION: <br /> <br /> 30NALD E. WOODLEY, MARION COUNTY BUILDING OFP1CIAL / BY <br /> <br />FO~M#MCI5~6 AEVlF88 O~[CE COPY <br /> <br /> <br />