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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: 588-51¢7 800 - 4'30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or occupy <br /> <br />WRIGHt, ~C~ <br /> <br />IIM~: 12:42:54 <br /> <br /> 300 EVERGR~P¢4 <br />AUMg%VlLLE OR 9?325 <br /> <br />MAILING ADDRESS MANUFACIUR~:D SFRUCfUR~ <br /> <br />362 N~LL.-ON SI S <br />SALgM OR 9?302 <br />F4'tONE: 581-4029 <br /> <br /> S~)~ NUIV~3 ER: <br /> VALUt~ l i 0N: <br />LOT BLOCK ~ECTION 1OWNSWIP RANGE ' ZONE <br /> <br />14020 <br /> <br />i MAP <br /> <br />lat. <br /> <br />CON f RACT©R, NO_ ~ 90 I~ <br />KILRO¥S ~iLE HE'~E <br />2230 NO PACiPiC HWY <br />WOOf,~dURN, OR~GOfl 9'!071 <br />PlflONE: 371-b820 <br /> <br />I[E~I <br />MANUFACIUREO S[RUCfURE PLACEt',IPZ4f/CONNEC¥1ON <br />t4ANUPACfURED 51RUCIUR~ 51AlE FbE <br />MANUFACTUR6O 5)R'UC(URE SfAl~ .~SURO4ARG~ <br /> <br />TOrAh .,~.,?~ES,SEO FBES <br />PRb~iOU$ R~C~IPi3 <br />THiS R~CEiPT <br /> <br />QUANTIFY <br /> <br />$182.00 <br />$20.00 <br />$9.18 <br /> <br />$211.10 <br />$2q1,~0 <br /> <br />BALANCE L,~JE $0_00 <br /> <br />PAYEE: K. ILROY5 r'4OStL~ HO~qE A~ INVOICE 36948 <br />RECEIVED BY: <br /> <br />* THIS tS NOT A PEI:~IT. THiS APPLICATION ~I..15T ~0 THR(X.IGH A REVtE~ PR~;..~ ~ERE THE <br />FOLLOININ6 FIIJ~T BE COf,IPLETED. IT IS THE RESPONSIBiLiTY OF THE APPLICANT TO A....%~RE THAT <br />ALL NE';~EEN..%~RY iNF-~)RI~IATION HA.SBEI~ PROViOEDi <br /> <br /> <br />