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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: 888-7904 <br /> <br />of a registered builder. <br />The work will be performed by a registered builder, <br /> <br />I have read an~-agree to the terms sta~e¢ ~n the reverse side of <br />this document, <br /> <br /> lIME: <br /> 8:28~5~ <br />OWN£R; <br /> BENTON. DFNNI.' & LOLA <br />SITUS ADDRESS: <br /> <br />TAX LOT: <br /> <br />CO ---RUCTiO- Ty ENST N P : <br /> <br /> 43,% MW SANTZAid AVE CON~RAC~CITY: O~B: <br />DETROIT OR 97542 DETROTT NO <br /> <br />USg OF BUIL~ING: <br /> HANUFACTUREB STRUCTURE <br />MAILING ADDRESSI ~UBDIVISIONi <br /> <br /> PO BOX 866 <br /> HINES OR 97'7:~ 8 SITE NUMBER: 9~-00609 <br /> PNONE: 573,,-3259 V~LU~'T~ON: <br /> <br />LOT'. <br /> <br /> ;/.8 <br /> <br />'DE p~3;H AREA,01 UNITS:~IO IRREG.SE LOT, , :OR O-R;ONE <br /> 13.1: .1,8755. SF NO YES <br /> <br /> RESiDENTTAL <br />OCCUPANCY; <br /> <br />TYPE: MANUFACTURED STRUCTURE PERMIT OR APPLICATION NO: <br />(]ON'I'RACTOR, NO <br />BENTON, BENNIS'& LOLA <br />PO BOX 86S <br />HINES OR 9773B <br />PHONE_~ 575-3239 <br /> <br /> I 1' E M <br />HANOFACTUBBD STRUCTURE PLRCEHENT/CONNECTION <br />MANUFRCTUF]EO STRUCTURE STR'FE FEE <br />MANUFACTURED 3TRUCTURE STC, TE SURCHARGE <br /> <br /> TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br /> 8ALANCE DUE <br /> <br />9045~90 <br /> <br />8(JAN'I'['rY RHOUNT <br /> $:1,82_00 <br /> $20.00 <br /> $9..10 <br /> <br /> ;~O,,O0 <br />$2.11.10 <br /> <br />$0,,00 <br /> <br />PAYEE:: BENTON, DENNIS & LOLA ~,F~ ~NV~ICE 47572 <br />RECEiVEO BY: PB ~L'__~___ TYPE: IN CHE.,K ~: 0 <br /> <br />* THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETER. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY INFORMATION HAS BEEN PROVIDED, <br /> <br />PLANNING ACTIOn: <br />ZONING: 8Y ~ ~ D~TE <br /> RS <br /> <br /> CITY JUk[oBICTIO~. <br /> REMARKS: HANUFr. HONE <br /> <br /> <br />