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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 />The work will De ~erformed by a registered builder, <br /> <br /> I havo read and agree to the terms stated on tl~e reverse side of <br /> <br /> DATE: 12/04/92 TIHE: ~:~9;40 <br />; WEBER ~ JOE <br /> SlYUS ADDR£SS: <br /> <br /> 5770&-00C <br /> <br />CONSTRUCTION TYPE <br /> <br /> 250 YEW CT <br />AUBSVILLE OR 97525 <br /> <br />MANUFACTURED STRUCTURE <br /> <br />SAME <br /> <br />PHONE: 769-7744 <br /> <br />CONTRACT CITY: JOB' <br />AUMSVILLE 46 <br /> <br />SUBD VISION' <br /> EVERGREEN ESTATES <br /> <br /> SITE NUMBER: 92-01594 <br /> YALUATIOH: <br /> <br />LOT. BLOCK. SECTION~ TOWNSHIF RANGE ZONE <br /> <br />29 25 , 8S 2U Ri <br />WIOTH. OEPTR; AREA. UNfTS IRREG. LOT CORNER <br /> 55 85 SF YES NC <br /> <br />CATEGORY; <br /> RESIDENTTAI <br /> <br />OCCUPANCY <br /> <br /> R-~ <br />OCCUPANT LOA£ <br /> <br />k OF BEDROOMS <br /> <br />MAP <br /> <br />TYPE: MANUFACTURED STRUCTURE PERMIT OR APPLICATION NO: <br />CONTRACTOR, NO. 38~$8 <br /> Santiam Homes <br />11S7~ Mill Creek Rd <br />Aumsville, 97S25-0000 <br />PHONE: 769-7744 <br /> <br />fl'EH <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTURED STRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE STATE SURCHARGE <br /> <br /> TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br /> BALANCE DUE <br /> <br />9044245 <br /> <br />QUANTITY AHOUNT <br /> $182.00 <br /> $20.00 <br /> <br />$211.10 <br /> $0.00 <br />$2tt.10 <br /> <br />$0.00 <br /> <br />PAYEE: CRAIG LUCAS ,~ INVOICE 46~94 <br />RECEIVED BY: PB //~:> TYPE: IN CNECK ~: 0 <br /> <br />* THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY INFORMATION HAS BEEN PROVIOED. <br /> <br />PLANNING ACTION: <br /> DATE_ <br /> PLAN REVIEW: BY <br /> ZONING: BY ......... OATE ............... <br /> SEPTIC: BYZZZZiiT]]ZZZ]~]] <br /> <br />CITY JURISDICTION; BY ........... DATE ........... <br />REHARKS: MAHUF~ HOME <br /> <br />SETBACKS: FR 10 <br /> 18-15 <br /> RS'-"J.S <br /> <br /> spZ ..... <br /> <br /> OFFICE COPY <br />FORM # MC 15.56 REV, 4/90 <br /> <br /> <br />