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MARION COU. NTY~UILDING INSPECTION <br />SEI~ATOR'"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 />of a registered builder. <br />The work will be performed by ,s registered bLdldcr. <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />ov'IBA~FE: 10/25/8~ TIME: <br /> <br />SITUS ADOR~RRY' VERNON <br /> <br />CONSTRCCTfOh TYPE <br /> <br />40882-000 <br /> <br />12102 FRY ROAD <br />AURORA OR 97002 <br />USE OF BUILDING <br /> <br />NE <br /> <br /> CONTRACT CITY: UGB <br />MARION COUNTY NO <br /> <br />SUBDIVISION; <br /> <br />OCCUPANC RESIDENTiAE <br /> <br /> PHONE: 678-2841 <br />LOT: 8LOCK: <br /> <br /> SITE NUNBER: 8603 <br />TOWNSmh: : ~XY~_U-IATION: : ZONE: <br /> <br />MAP: <br /> <br />AREA: 21 UNITS; 48 mRee.~:Of: 1N :COR~eR: EFU <br /> l~OOO00 AC NO NO,, <br /> <br />6 <br /> <br />TYPE: MOBILE HOME PEC~IIT OR APPLICATION NO: <br /> <br />CONTPC~TOR, NO. 4907 <br />KILROYS I~CEiLE HONE <br />2230 NO PACIFIC HWY <br />t~3ODBURN, OREGON 97071 <br />PHONE: 371-6820 <br /> <br /> ITE~ <br />NOSILE H0fflE BASE FEE <br />t40~ILE HONE STATE FEE <br />MOBILE HOME ZONING SURCHARGE <br />FLEET ..~RCHARI3E -ZONE 6 <br />NOSILE HONE STATE SURCHARGE <br /> <br />19579 <br /> <br />qUANTITY <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />AMOUNT <br /> 289.25 <br /> 15.75 <br /> $5.25 <br /> <br /> $5.25 <br /> <br />[t23.18 <br /> $0.00 <br /> <br />$0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: PR TYPE: CHECK ~.* <br /> <br />* THIS IS A VALID PERil]IT ~ THIS PERNt~T EXPIRES 180 DAYS FR0~I ITS IS~JE DATE. IF <br />C~NSTRUCTioN CEASES FOR A PERIOD OF 180 DAYS,OR ZF CONST~TI~ FAILS TO MEET ALL <br />RE~JIREI~NTS OF STATE LAN8 AND MARION COJNTY I~UILDiN(~ AND ZC~IIN8 ORDINANCES. THIS <br />~HALL BECZ3t4E NULL AND VOID. ~"-'"~-~ ~'¢~7~ <br /> <br />RE~K~: REPLACE NOB~bE HONE R~7199 t~xi~tln~ y~bile <br /> <br />BONALO E. NOODLEY, MARION COUNTY 8UILOINr- OFFIOIAI~'/ <br /> <br /> OFF~CE CO~Y <br /> <br /> <br />