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MARION COLJ.NTY.¢UILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4;30 RM, - 8:00 A,M. <br /> <br />Other <br /> <br /> 03/21/90 T:ME: 13:37:19 <br /> <br />SlYus^Do~E~B~NKO, MIKE AND RITA <br /> <br />RES]: DENT IAL <br /> <br /> 24031 SCHULTZ RD NE <br />AU..~_RA OR 97002 <br />MARION COUNTY NO ~o oF BSDnoo~s <br /> <br />28035 SN PARKNAY ~7 <br />WILSONVILLE, O~ 97070 <br />PHONE: 882-5848 <br /> <br /> SITE NUMBER: 9672 <br />S~CTION: TOWNSHIP: R^ACALUATIONz ZONE: MAP: <br /> <br />AC NO NO <br /> <br />AR 1 <br /> <br />TYPE: MOBILE HOME PER~tT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO, <br />DUBENKO, MIKE ¢NND RITA <br />28035 SN PARKWAY ~7 <br />WILE~VILLE, OR 97070 <br />PH~E: 682-5848 <br /> <br />MOBILE HONE 8~E FEE <br />Iv~:)SILE HONE STATE FEE , <br />MOBILE HONE ZONING SURC_.~!ARGE <br />FLEET SURCHARGE -ZONE ? <br />MOBILE HONE STATE SURCHARGE <br /> <br />9022589 <br /> <br />T 0't' AL' ASSE~ED',. FEES <br />,~EV'~SUS:::RECE':(PTS , ~, <br />TH IS'" RECEIP~ ?'2;,: , ,:: :~ C,',' <br /> <br /> PAYEE: DUDENKO¢ MIKE AND R: <br /> RECEIVED <br /> <br /> ~ THIS IS NOT A PERI4IT. <br />~OLL~IN~ <br />ALL NEC~ <br /> <br /> P~ R~I~: BY ..................... . ............. DATE <br /> SEPT~C: BY....... ~% .......................... DATE <br /> ZONING: 8Y~....._ <br /> R~RKS ~ <br /> P~NN lNG ACTI~ <br /> <br />QU~TITY A~OUNT <br /> ~8g.25 <br /> 15.75 <br /> $5.25 <br /> 8.96 <br /> 5.25 <br /> <br />$124.48 <br /> $0.00 <br />$124.46 <br /> <br />$0.00 <br /> <br />RECEIPT 23948 <br />C~4ECK ~; 1782 <br /> <br />PRCX~E~S ~-IERE THE <br /> TO ASSUEE THAT <br /> <br />CITY JURISDICTION: BY ................................ DATE ................................. <br /> LS.j..,~.,~,,.. ¢~S,._/'_.~.,,,,, rr,,.~¢;~ SP .................. <br /> <br />FORM#MCI$-56 REV ll/88 OFFICE COPY <br /> <br /> <br />