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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG NO.. 225 <br /> 220 HIGH STREET NE <br /> _ .-~¢=~M,'~'OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4 30 PM - 800 A.M <br /> <br />I have tead and agree to the terms stated on tho reverse side of <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> OATE <br /> <br /> 05/18/89 <br />SITUS ^DDnEsI~LTER, BILL <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />RESIDENTIAL <br /> <br /> 11952 STEINKAIVlP RD <br />AUNSVILLE OR <br /> <br />97325 <br /> <br />SE <br /> <br /> CONTRACT CITY <br /> <br />MARTON COUNTY <br /> <br />11852 STEINKAMP RD SE <br />PHONE: <br /> <br />SITE NUMBER: 6694. <br />~N~ALUATION: ZOnE <br /> <br />MAP <br /> <br />261 299 78039.0 SF <br /> <br />1W COnN~ ,AR 48 <br />NO NO <br /> <br />TYPE: MOBILE HONE <br /> <br />CONTRACTOR, NO+ <br />MOLTER, BILL <br />11852 STEINKAMP RD SE <br /> <br />PERMIT OR APPLICATION NO: 15620 <br /> <br /> ITEM <br />MOBtLE HOME FIRST NiDTH <br />MOBILE HOME ADDTL. WIDTH <br />MOBILE NONE ZONING .~RCHAI:~E <br />FLEET SURCHARGE -ZONE 8 <br />MOBILE HONE STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY AMOUNT <br />1 $?0.00 <br />1 $30.00 <br /> $5.00 <br /> $3.84 <br /> $5,,00 <br /> <br />$113.84 <br />$113.84 <br /> $o.oo <br /> <br />$o.oo <br /> <br />PAYEE; RECEIPT NO: <br />RECEIVBD BY: I~ TYPE= CHECK ~: <br /> <br />* THIS IS A VALID PER~IT z THIS PEI~4IT ~XPIRES 180 DAY~ FRO~ ITS I,SSUE DATE. IF <br />CONSTRUCTION CEAS~ FOR A PERIOD OF 180 DAY~,OR IF CONSTRUCTION FAILS TO MEET ALL <br /> OF STATE LA~S AND ~ARION COUNTY BUILDING AND ZONING ORDINANCES. THIS PER~4iT <br /> NULL ~O VOID. <br /> <br />REMARKS: MH RAt?360 <br />PLANNING ACTION: <br /> <br />DONALO E- WOOBLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFH¢.,~ COPY <br /> <br /> <br />