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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 />[ am a registered builder OR the authorized representative <br />of a registered builder, <br />The work will be performed by a registered builder. <br />Other. <br />t have read and agree to the terms stated on the reverse side of <br /> <br />AUHSV'rL. LE OR 97325 MARION COUNTY[ NO <br />HANUFACTURED STRUCTORE ...................... j ..... ~ ~ <br /> <br />SAME I ~ <br /> <br /> = ~ SITE NUNSER: 9Z-82~73 ~ <br />PHONE: 749-~9.~6 ~ VALUATION: <br /> <br />TYPE: NANUFACTURE~) STRUCTURE <br />2,0, N'f'RACTOR,j NO,, <br />MdRRY~ DONALT) <br />SAHE <br /> <br />PHONE: 749-1956 <br /> <br /> I TEH ' <br />MANUFACTURED STRUCTURE ZONING SURCHARGE <br />MANUFACTUREQ STRUCTURE ST3RAGE PERRI <br /> <br />PAYEE: <br />RECEIVED BY: CL ............ .~:~. <br /> <br />* THIS IS NOT A PERI~IT. <br />FOLLOWIN6 HUST BE <br />THAT ALL NECESSARY <br /> <br />PERHIT OR APPLICATION NO: 9~47967 <br /> <br />PLANNING ACTION: <br />PL,AN REVIEW: BY <br />ZONING: BY ..................... <br />SE P T I C': ~ - - '" ..... ~;:~-:? ::: <br /> <br /> CITY ,JURISDICTION: BY ' ::., :,~ATE <br /> <br />QUANTITY AMOUNT <br /> $15,, 00 <br /> $25. ~f~ <br /> <br />$40.00 <br /> $0.80 <br /> $~//,, 00 <br /> <br />$40.00 <br /> <br />RECEIPT <br />CNECK $: <br /> <br />A;~':IREVIEW PROCESS WHERE THE <br />[HE APPLICANT TO ASSURE <br /> <br />SETBACKS: FR <br /> <br /> RR .......... <br /> <br /> <br />