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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 a registered builder, <br />The work will be Cerformed by ~ registered builder, <br />Other, <br /> <br />06/19/92 <br /> <br />TAX LOT CATEGOR' <br /> RE,'~ ! DENf' fAL <br />~ONSTRgCTJON TYPE ' OCCUPANCY <br /> <br /> R-3 <br />CONTRACT ~ITY; JC~B'. OCCUPANT LOAD: ' <br /> <br />r,~AR I.C~N .. COUN];Y .i NO , <br /> 'NO. OF BEDROOMS <br /> <br /> 207?20LMS'rF D RD <br /> AURORA OR 97002 <br /> <br />USE O¢ ~UILDING: ............... <br /> <br />NE <br /> <br />~A~LING ADDRESS; ~MANUPAOTORED"'~FRUC~fURE ......... ~L ~DI:~I~I6'~- ' <br /> <br /> PHCtqE: 678-566? E,i]'E NUMBER: 92-02310 <br /> VALUAT iON., <br />LOT: BLOCK: SECTIO~ TOWNSHIP'. RANGE Z O'N E: · MAP: <br /> <br /> 18 .... 4[5 3~ :;PM 4 <br />WlDTH~ 'DEPTH' AREA: U NITS~ RREG. LOT'. gORNER <br /> 12.75 AC NO NO <br /> <br />TYPE: MANUFACTURED STRUCTURE <br /> <br />CONTRACTOR, NO. <br />BARBEE, DiCK & GRACE <br /> <br />PHONE: 678-5667 <br /> <br />PERMIT OR APPLICATION NO: 4076? <br /> <br /> iTEM <br />D~ANUFAC'FURED STRUCTURE PLAC~N'r/CONNEC'FION <br />~¢¢~NUP'ACTURED STRUCTURE STATE FEE <br />MANUP~C'FURED ~TRUC'FURE C~'rATE SURCHARGE <br />MANUFACTURED STRUCTURE ZONING. 8URf.,.~iAR6E <br /> <br />QU~C4T i I'Y <br /> <br />A~NT <br /> $t82.00 <br /> $20.00 <br /> <br /> $35.00 <br /> <br /> ' TOTAL A,E~ES~ED PEP-~ $226.10 <br /> PRE¥1.OUS. RECEIPTS $228.10 <br /> tHIS RECEIPT $0.00 <br /> ]BAL.cc4CEDUE $0.00 <br /> <br />RECEIVED BY; ~ TYPE- CHECK ~- 0 <br />~ ~IS IS A VAL[O PE~T~--~:TH[3 ~Z~ F~ ~ ~E [~TI~ ~D ~E ~I~TI~. ALL <br />B~KZNe, STAIR i~TA~TI~, P~ING, M~I~b, ~De! ~TRI~L ~BTI~ A~ R~IRED <br />BE ~ETED U~ R~T ~:~E F[~T I~T[~.: IF ~ OF THE ]T~ A~ IN~PLETE, <br /> I <br />~ITI~ IN~P~T[~ F~ ~[LE ~E. R~:R~. ~I:T [~ VALID ~R SIX ~T~ ~LY. R~ED <br />6 ~THS U~ ~[TT~ ~T ~R~ ~T~SI~; ~[OR TO THE ~PI~TI~ ~TE~ THE P~JT. <br />IF ~ST~CTI~ FA[~ TO ~T ALL R~[~ OF STATE ~ ~D ~RI~ <br /> <br />SETBACKS: FR L3 R~ RR SP <br />RF.~ARK~: ~ Pr.3~EME~4'r'"'RO'"'ADDiT~ONAE BEOROO¢~ NO CEOSE'FS <br /> <br />r~ANING ACTION: <br /> LD E. NOODLEY, tflARION COUNTY ~U[LD!NG OFFICIAL / BY <br /> <br />FORM # MC 1 [L~6 REV, 4/90 OFFICE COPY <br /> <br /> <br />