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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 />I am performing work On a property, owt~ or occupy. <br /> <br />Other <br /> <br />AUHSViL.,LE OR 97325 <br /> .~o o; ~60~OOMS: <br />MANLJFACTURED S-FRUC';'URE t - ' <br /> <br />5:I, 2~ ALrBURN RD ~,iE ~ U / <br /> ~ VALUATION: <br />PI4f)NE: S6;~-9775 ~ ~ <br /> <br />TYPE: MANIJFACTUREI) STRUCTURE <br />Cf]I'JTRACT[!R. biO,, <br />5125 ~t. JBURN RI) NE <br />SAL, EH <br />F'I,.II]N E ~ G~;J-9775 <br /> <br />PERmiT OR APPLICATION HO: ?~4771~ <br /> <br />MANL)f--ACTUREI) STRUC. TURE F'L, ACr.-':i'4E],Ft-/CONbiL~:CTION <br />NANUF'AETLIF(ED STRUCTURE STATE FEE <br />~AWUF'ACTUR£{D S'FRUC'¥'URE STAT~ SURCHARGE <br />I~AblIJF"ACTURED STRUC'~URE ZON:[NG S!JRCI,,tA~G~: <br /> <br />'fOTAL A,,~,,..,o,SE]) FEES <br />PRE~/zOUS RECEIPTS <br />Tb!]:S RECE.'". PT <br /> <br />QUANTITY AHOUNT <br /> $1.02.08 <br /> <br /> $%, 10 <br /> $15.,00 <br /> <br /> $0 ,. <br />$,'..,'.6 · .LB <br /> <br />BALANCE DUE $0,,00 <br /> <br />PAYEE: F'UDD~)ING RIVER Bt,.I)G tNC : I~ECE]:P'f' 49'994 <br /> <br />RECE;IVED :EN;: [,1_ , .................................. TYFE. OK CHEC, K :~:., 1071 <br /> <br />~ THIS IS NOT A PER~IT. THIS APPLICATION ~UST 6D THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE ~G~PLETED. IT IS T~E RESPOflSIBILITY OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY INFORffATlON HAS BEEN PROVIDEB. <br /> <br /> <br />