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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 />10/14/91 ~'IME: 16:09:29 <br /> <br />,SAlVIa/IONS, DiCK & D~LOR <br /> <br />TAX LOT CATEGORY <br /> <br /> 5 ??06~000 <br />CONSTRUCTION TYPE OCCUPANCY <br /> <br />RES] DEN ~ 1AL <br /> <br /> 340 EVERGREEN DR <br /> <br />~I!~E ©F BUILDING <br /> <br />OR 9?325 <br /> <br />CONTBACT CITY UGB OCCUPANT LO~3 <br />AUC4SViLLE NO NO O; ~O,OOM* <br /> <br />M~ILIN~ AU~E~S NANUFAC'f'URf~D S'¥'RU~'f'URE <br /> <br />113V3 MiLL CREEK RD <br />AU~ViLLE OR 97325 <br />PHONE: 769-??44 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> <br />SUBDIVISION <br /> <br /> SJIE NUIVE:fER: 1455'( <br /> BAN~LUArIC)N: ZONE <br /> <br />55 85 4675. SF NO NO <br /> <br />TYPE: 1~4UFACIURED ~IRLICI'URE PER~ClIT OR APPLICATION NO: 9036096 <br /> <br />CONfRACIOR, NO. 38238 <br />[~nle'l L Carver <br />lf313 NI'I'I Cr~k Rd <br />~v~ '1 'le, <br />PHONE: 769-V744 <br /> <br />MANUFACfUREO SYRUCYURE PLACE~ENf'/CONNEC'riON <br />F~NUPACIUREO 51RUC'fUR~ ~'IAf'E FEE <br />f, IANUPAC~UREO SIRUC'IURE S'fAI'~ ~SROHARGE <br /> <br />l'O'fAL A,~SESSED FEES <br />PRE¥iOU8 RECCJP'f'~ <br /> <br />QUANri'IY AMOUNI <br /> $182.00 <br /> $20.00 <br /> $9.1o <br /> <br />$2~1_~o <br /> <br />SAUCE [.~IE $0.00 <br /> <br />PAYEEt SANFIAM HONES <br />RECEJYED BY: P8 .......................................................... <br /> <br /> INVOICE 38024 <br />TYPE: iN C~ECK ~: 0 <br /> <br />~ THIS IS NOT A PER~IT+ THIS APPLiCATiON IW.~T 60 THR~J~H A REV[EN PROCESS I~I-IERE THE <br />CO~IPLETED. iT iS THE RI~SPON~IBILiTY OF THE APPLICANT TO ASSURE THAT ALL NECE~oARY [NPO~tATI( <br />PROVIDED. <br /> <br />SEPTIC: BY DATE CIFY JURiSDICTiON: BY DATE <br /> <br />ZONiNGt BY DAlE SEIBACK~: PR 10 L~ 10 R'~ 10 RR 10 5P <br />REMARKS; IvlOBILE'RI:~4E PLAC.E~ERT <br /> <br />PLANNING ACIiON: <br /> <br /> c <br />FORM ¢¢ MC fi5 56 REV '~mO OFFICE COPY <br /> <br /> <br />