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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: 03/16/92 TIME: 8;24:46 <br /> <br /> KEiLLOR, DAN & CAROL <br /> <br />SIGNATURE OF APPLIDANT <br /> DATE <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br /> 210 YEN C¥ <br />AUMSViLLE OR 97225 <br /> <br />USE OF BUILDING <br />MAILING ADDRESS <br /> <br />~ANUFAC 'UREB. ~i'F~..c'rURE_ <br /> <br /> CATEGORY <br />57706-000 <br /> <br />250OhTR~CT C~T~ UGD <br />AUFCSV I LLE NO <br /> <br />LOT <br /> 25 <br />W~DTN ,~sDEPTH <br /> <br /> RESI DEN 'I Il <br /> <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br /> 3 <br /> <br />EVERGREEN ESFAIE$ <br /> <br /> SiI'E NUCCDER~ 92-01096 <br /> VALUATiONs <br /> <br /> 25 8S 2N RN <br />95 5225. SF NO <br /> <br />fYPE: f'4.N~UFACFURED SFRGCFURE PERMIF OR APPLICATION NO: 38?48 <br /> <br />C~3N1RACTOR, NO. 38238 <br />Daniel L Carver <br />11373 Mi]'l Creek Rd <br />Aum~ville, 9?325-0000 <br />PHONE: 769-7744 <br /> <br /> i rEM <br />MANUFACtuRED SFRGCFURE PLACEI'flENF/CY.3NNECTION <br />MANUFACTURED SlR~JCYURE STATE FEE <br />f4ANUFADFURED SFRUCTURE SFATE ~3URCHARGE <br /> <br />TOTAL A..c~EO FEES <br />PRE¥iOU~ RECEIP'F8 <br />IHIS RECEIPT <br /> <br />QOANTI'IY <br /> <br />$20.00 <br /> $9.~o <br /> <br />211.10 <br /> $o.oo <br /> <br />BALANCE f..~E $0.00 <br /> <br />PAYEE: INVOICE <br /> <br /> RECEIVED BY: dm ............................................................................TYPEz CHECK ~: 0 <br /> <br /> ~ THiS IS A VALID PEI~IiT ~ THIS PERf4iT FEE COVER~ ONE INGP~TI~ ~O ~E REINSP~TI~. ALL <br /> 8L~KiNG, ~TAIR INSTAnTlY, P~ING, ~i~k, ~D .E~TRI~L ~N~TI~ ARE R~IRED 1 <br /> BE ~PLETED U~ R~T ~ ~E FI~T I~P~TI~. iF ~ OF THE IT~ ~E IN~PLETE, ~ <br /> ~OtTl~ I~P~TI~ ~iLL BE R~IRED~ ~IT IS VALID ~5lX ~TH~ ~LY. ~O <br />6 ~TH~ U~ WR1TT~ ~T ~R ~ ~l~, PRIOR TO THE ~I~TI~ ~TE OF THE PE~IT. <br />IF~T~TI~ FAI~ TO ~ ALL R~IR~T~ OF STATE ~ ~o ~RI~ ~NTY BUILOI~ ~O <br />Z~IN~ ORDINal, THI~ P~[T~LL B~E <br /> <br />~EFBACKS*. FR 10 LS 10 R~ 15 RR 15 SP <br />R~RKS: FOBILE HOfAE PLACEJ~EN1 ............... <br /> <br />PLANNING AC r ION.. <br />[.TJflALD E. ~)ODLEY, hlARioN COUN1Y BUiLDiNG OPPiCIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15.56 REV 4/90 <br /> <br /> <br />