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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO, 225 <br /> 220 HIGH STREET NE <br /> SALEM1 OREGON 97301 <br /> <br /> PHONE:588-5147 8:00- 4:30 <br /> <br /> The work win be performed by a registered builder. <br /> Other <br /> <br /> this document· <br /> <br /> D~TE: 0,!./25/93 T <br /> <br /> GREEN, JOE 7055~-50~ ~ RESIDENTIAL <br />ADDRSSS: CONSTRUCTION TYP~; i'~C~ PA~: <br /> <br /> &$74~ N~RBLER L~NE NE f'~: i OCCUPANT LOAD; <br /> ~UROR~ OR 97002 H~R~ON COUNTY~ NO ,, <br /> <br /> MANUFACTUREO STRUCTURE <br /> ~ U <br /> PHONE: 685-9685 VALUATION: <br /> <br />&5 i 100[ 6500.! SF t NO ~ NO <br /> <br />TYPE: MANUFACTURED STRUCTURE PERHIT OR APPLICATION NO: <br />CONTRACTOR, NO. 75977 <br /> LAMAIN CONSTRUCTION <br />206 SE 4TH <br />TROUTDALE~ 97060~0000 <br />PHONE: 760-7756 <br /> <br /> ITEH <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTUREO STRUCTURE STATE FEE' <br />MANUFACTURED STRUCTURE STATE SURCHARGE <br />MANUFACTURED STRUCTURE ZONING:SURCHARGE <br /> <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br />9044985 <br /> <br />QUANTITY AMOUNT <br /> $i82,00 <br /> $20.00 <br /> $9.10 <br /> $15,00 <br /> <br />$226~10 <br /> $0~00 <br />$226.10 <br /> <br /> BALANCE DUE $0.00 <br /> PAYEE: JOE GREEN I~E~TC~f~NT ~0 ]i : RECEIPT 47140 <br /> RECEIVED BY: MB tK CHECK ~: 1342 <br /> · THIS IS NOT A PERHiT. THI$:APPEICATION ~UST 80:THROUSH::A REVIEW PROCESS WHERE THE <br /> FOLLOWING HUST BE COMPLETED,i: iI~ IS THE :REsPONsIBiLitY 0F :THE APPLICANT TO ASSURE <br /> THAT ALL NECESSARY <br /> <br />PLANNIN6 ACTION: <br /> <br /> ZONINC: BY ~ ........ OATE-~Z~- <br /> SEPTIC: BY ......... DATE .... ~__-- <br /> <br /> CITY JURISDICTION: BY ........ DATE= <br /> <br />FORM # MD 15-58 .~EV. ~/90 OFFICE COPY <br /> <br /> <br />