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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 8;00 - 4,30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />of 8 registered builder <br /> <br />Other. <br /> <br />DATF <br /> <br />10/14/91 TiME: 15.'39:40 <br />SAN f ,tAN HONEs <br /> <br /> TAX LOT CAI ~OORY <br /> <br /> 57706~000 <br />CONSTRUCTION TYPE OCCUPANCY <br /> <br />RE51 DEN f i ~,L <br /> <br /> 220 EVERGREEN DR <br /> AUIv[SV i LLE <br />USE OF BUILDING <br /> <br />OR 97325 <br /> <br /> CONTRACT CITY <br /> <br />AUIv~VILLE <br /> <br />UGB <br /> <br />NO <br /> <br />MAiLiNG AOBR~B5 MANUFACfURED srRucfuRE <br /> <br />EVERGREEN <br /> <br />PHONE: Sire NUIV~ER: 13068 <br /> VALUAflON: <br /> <br />55 94 SF YE% NO <br /> <br />fYPE= MANUPACfUR~D SFRUCfURE PERMI r OR APPLiCAfION NO: 9036088 <br /> <br />CON IRACfOR, NO. 38238 <br />Daniel L Carver <br />11373 Mff]l Creek Rd <br />Aurr~vil'le, 97325-0000 <br />PHONE: <br /> <br />MANU?ACfURED SfRUCFURE PLACEMENI'/CONNECfiON <br />MANUPACYURED 51RUClURE SlA'fg PEE <br />MANUFACfURED SIRUCfuRE stArE <br /> <br />~UANlliY <br /> <br />TOTAL <br />PREWiOUS <br /> <br />rdALANC P._ f,,,~J E <br /> <br />AMOUNT <br /> $182.00 <br /> SZ0.00 <br /> <br />$211+10 <br /> $o.oo <br /> <br />$o.o0 <br /> <br />PAYEE: 5ANfiAM HOMES /~ iNVOICE 38613 <br />RECEIVED BY: PB ~ ~YRE: iN CHECK ~: 0 <br />* YH~S I$ NOT A PER~IT. TH~8 APPLICATION MUST 60 fHRDU(~I A Rg:ViB PROCE. S,S t/~IERE THE FOLLOW/N( <br />COMPLETED. IT 1S THE R~iBILITY OF THE APPLI~T TO ~RE THAT ALL N~ INFO~i( <br />~IDED. <br /> <br />PLAN <br />SEPtiC: 8Y .......... DAf'E ......................... OIlY JURISDICFION: 8Y DAlE <br />ZONING: MY DAlE SETBACKS: PR 10 LS 10 R5 10 RR 10 5P <br />REIVlARKS: MOBIEE'RO~E PLAC'E~;i~T <br /> <br />PLANNING ACTION: <br /> <br />FORM ,~ MC 1§-56REV 4'90 OFFICE COPY <br /> <br /> <br />