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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />2¢0 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 /> Other <br /> this document. <br /> DATE= 06/29/92 TIME: ii:4~:$2 <br /> <br />~ ', 5-N ' H-1 <br />I 205 EVERGREEN DR ~ ~ i ~UP~NT <br />,r ~UHSVZLLE OR 97325 ~"~-~'~Y~ ~ '~ ~ LSAt: <br /> , <br /> <br /> EVErgREEN MOBILE HOME PARK <br /> SAME <br /> <br /> ~HONE ~ 74~-~ z ~ V~LU~T~ON~ $2,800.00 <br /> <br />LOT: ~ BLOCK: ~ SECTION; i TOWNSHIP= ] ~ANGE: ~ ZONE'. : MAP: <br /> i0 <br /> 25 <br /> <br /> 6~ <br /> <br />TYPE: BUILDIN~ <br /> <br />CONTRACTOR, NO, <br />MOORE, WESLEY <br />SAME <br /> <br />PERHIT OR APPLICATION NO: 9040934 <br /> <br /> ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: 749-3116 PHONE: <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDIN~ STATE SURCHARGE <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $38.50 <br /> $25.03 <br /> $1.93 <br /> <br />TOTAL ASSESSEOFEES $65.46 <br />PREVIOUS RECEIPTS $0.00 <br />THIS RECEIPT $65.46 <br /> <br /> B'ALAH E DUE $0, OD <br /> y # <br /> P~EE. MOORE~ WESLEY 42965 <br /> RECEIVED BY: PB ....... ,~. : TYPE: IN CHECK ~: 0 <br /> * THIS IS NOT ~ PER~IT. TH~S REVIE~ PE~ESS ~ERE THE <br />FOLLOWING MUST BE COHPL:ETED. IT, ISTHE :RESPO~IBILZTY OF THE aPPLICANT TO aSSURE THaT <br />LL NECESSARY [NFORHRTION HaS BEEN PROVIOEO:: <br /> <br />PLAN REVIEW: BY <br />ZONINC: BY .... ---OATE-~ <br /> <br />CITY JURISDICTION: BY ........ DATE; <br />REMARKS: CARPORT <br /> <br />HEIGHT: 8 <br /> TOTAL SO FT: <br /> STORIES: i <br /> PLAN,ACTION: <br /> ENERGY PATH: <br /> <br />2S0 <br /> <br />SETBACKS: FR iO <br /> LsZ/ <br /> RRZiO <br /> <br /> OFFICE COPY <br />FORM # MC 15,56 REV, 4/90 <br /> <br /> <br />