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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 be performed by a registered builder, <br /> Other <br /> <br /> DATE: 06/30/92 TIHE: 10:24:14 <br />,' OWNER'. ........................... ~ TAX LOT; ; CATEGORY: <br />i ROTH, ROGER ! ~ RESIDENTIAL <br /> <br /> ilo ERIN STREET -- I~ CONTRACT CITY: [ UG8; ;OccUPANT LOAS: <br /> DETROIT OR 97;~42 ;DETROIT i NO <br /> <br /> MANUFACTURED STRUCTURE I <br /> <br /> SAME <br /> ~ SITE NUHBER. 92-02222 <br /> PHONE: 854-$728 VALUATION: <br /> <br /> i SECTION; <br /> <br /> 1oo ; ilO ilO00, r SF '. NO NO <br /> <br />TYPE: HANUPACTURED STRUCTURE <br />CONTRACTOR, NO. <br />ROTH, ROGER <br />SANE <br /> <br />PHONE: 854~5728 <br /> <br />PERHIT OR APPLICATION NO: 40654 <br /> <br />ITEM <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />NANUFACTUREO STRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE STATE SURCHARQE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> $182.00 <br /> $20.00 <br /> $9.10 <br /> <br />$211.10 <br />$211.10 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: INVOICE <br /> <br />RECEIVED BY: DM2 ............................... TYPE: CHECK ~: 0 <br /> <br />PLANNING ACTION: <br /> <br /> SETBACKS: 20 <br /> 5 <br /> 5 <br /> 15 <br /> REMARKS: MOBILE HOME <br /> <br />OONALD E. WOODLEY, MARION COUNTY BUILDINB OFFICIAL / BY <br /> <br />FORM # MC 15-5~5 REV, 4/9o <br /> <br /> <br />