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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 />f,,s¢~) The work WHI be perCormed by a registered builder. <br />( I Other <br /> DATE: 07/29/92 TIME: 15:49:50 <br /> 1'A× '1_~; I ~A~EGORY; <br /> ow.en:SOHMiD~ THOMAS i RESIOENTIAL <br /> <br /> S~ ADDRESS: ~O~ST~UGT~ON TYPE: <br /> <br /> 7490 SHERMAN RD SE <br /> ~UHSV~LLE OR ~7~25 :~T~ ~UNTY :b~cu~A~f LOAD: <br /> <br /> MAILING ADD : <br /> <br /> 'R,~,D~ r-: ~O~Ei MAP: <br />EOT: BLOCK: SECTION: i TOWNSHIP; <br /> : 29 8S 1W RA 48 <br /> WIDTN; ;DEPTH; ;i~i ; I¢~ LOT'. <br /> <br />TYPE: MANUFACTUREO STRUCTURE <br />CONTRACTOR, NO. <br />8CHMID, THOMAS <br />7496 SHERMAN RD <br />AUMSVILLE 97525 <br />PHONE: 749-100i <br /> <br />PERMIT OR APPLICATION NO: 9041589 <br /> <br /> ITEM <br />MANUFACTURED STRUOTURE PLACEMENT/CONNECTION <br />MANUFAOTUREO STRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE STATE SURCHARGE <br />MANUFACTURED STRUCTURE ZONING SURCHARGE <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $182.00 <br /> $20.00 <br /> $9.10 <br /> $15.00 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$226.10 <br />$226.10 <br /> $0.oo <br /> <br /> ~'-~ALANCE DUE $0.00 <br />PAYEE: ~\ RECEIPT <br /> <br />* THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING NUBT BE COMPLETED. iT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY ~NFORNATION HAS BEEN PROVIDED. <br /> <br />PLANNING ACTION: <br /> PLAN REVIEW: BY__~JL <br /> ZONING: BY ........ <br /> SEPTIC: BY~ <br /> C~TY ~UR[SO[CT[ON: <br /> REH~RK8: RE~CE <br /> <br />SETBACKS: <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV, <br /> <br /> <br />