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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:: 588-5147 8:00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />DATE <br /> <br />ow~jrE: 11/09/90 TIME: 16:28:55 <br /> <br /> MEDFORD, ARVOL & MILDRED <br /> <br />R~51DENi'iAL <br /> <br />12207 DONALD RD NE <br />AURORA OR 9?002 <br />USE OF ~3UR DING <br /> <br />878-5408 <br /> <br /> STOCK <br /> <br />SECTION TOWNSHIP <br /> <br />SITE NUf48ER: 115~Jl <br />SAvALUA'TNCE ION: <br /> ZONE <br /> <br />lQ. AC YE~ ; NO <br /> <br />TYPE,: PLUf~18 iNG <br /> <br />PER'Il' OR APPLiCATiON NO; <br /> <br />CONT~C'rOR, <br />fclEOPORO, ARVOL & MiLDrED <br />SAME <br /> <br />PHC~qE; 5'18-5408 <br /> <br />MOBILE HOME ,~P._~,5,R AND WAt'ER OONNECIlON <br />FLEET ,~.iURCHARGE -ZONE 6 <br />PLUFIEING ~,"rATE SURCHARCE <br /> <br />2828? <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THiS RECEIPT <br /> <br />qUANfi'I'Y AM[~Ni <br /> 1 $25.00 <br /> $7.68 <br /> 1.25 <br /> <br />$0.00 <br /> <br />8ALANOrZ glUE $0_80 <br /> <br />PAYEE: RECEIPT NO: <br /> <br /> RE,CE'IVED BY: CL .............................................,., ..... .,,, TYPE: CHECK At: 0 <br /> <br />* THIS is A VALID PF-.R~iT * THIS PER~IT EXPIRES 180 DAYS FRO~I iTS ISL_SUE DATE. 1F <br />CONSTRUCTION C~5 FOR A PERIOD OF 180 DAYS, OR IP CONSTRUCTION FAIL~ TO ~IEET ALL <br />REQUIRE~IENTS OF ~TATE LAWS AND I~RIQN CCUNTY BUILDING AND ZONING ORDINANCES, THiS PERMit <br />~HALL BE'TC(~E NULL AND VOID. <br /> <br />REMARKS: ~H CON RAt3359 ~ <br />LY-;)NALD E. NOODLEY, MARION O~JNIY BUILDING OFFICIAL / BY ........................~ <br /> <br />FORM # MC 16,66 REV 4/30 OFFICE COPY <br /> <br /> <br />