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MARION COUNTY BUILDING INSPECTION <br /> SENATQR 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 /> <br /> OATE: 08/06/92 TINE: 16:1~:0~ <br /> BARLOW, THOHAS ., ~/ .,~-,~- ; RESIDENTIAL <br /> <br /> M~MUF~CTURED STRUCTURE 2 <br /> <br /> SAME ( <br /> SITE NUHBER: <br /> PHONE: 749~1782 VALUATION: <br /> <br />WIDTH; <br /> <br />DEPTH; AREA; UNITS'. IRREG, LOT: ; CORNER: <br /> <br />TYPE: MAHUFACTURED STRUCTURE <br />CONTRACTOR, NO. 14922 <br /> CONH Woodburn Inc <br />285 S Pacific Hwy <br />Woodburn, 97071-0000 <br />PHONE: 981-3141 <br /> <br />PERMIT OR APPLICATION NO: 9041789 <br /> <br />ITEN <br />NANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />NANUFACTURED STRUCTURE STATE FEE <br />MANUFACTUREO STRUCTURE STATE SURCHARGE <br />NANUFACTURED STRUCTURE ZONING SURCHARGE <br /> <br />TOTAL ASSESSEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY ANOUNT <br /> $182.00 <br /> $20.0o <br /> $9~10 <br /> $15.00 <br /> <br />$226.10 <br />$226.10 <br /> $0~00 <br /> <br /> ~ BALANCE OUR $0.00 <br /> PAYEE: . Ii%~ . RECEIPT <br /> <br /> · THIS IS NOT A PERMIT. THIS ~PPLICATION MUST GO THROUGH A REVIEW PROC~SS WHERE THE <br /> FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIGIbITY.OF THE APPLICANT TO ASSURE <br /> THAT ALL NECESSARY INFORHATION HAS BEEN PROVIDED~ <br /> <br />PLANNING ACT~N: ~ ~ ,¢ ~ <br />PLAN REVIEU: BY_ ~ OATE <br /> <br />SETBACKS: ~ ~-~,o <br /> <br />cITY JURISDICTION: BY DATE <br />RENARK$; REPLACE EXIST~R~-RO~ILE <br /> <br />OFFICE COPY <br /> <br /> <br />