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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: 585-7904 <br /> <br />am perforrl/in9 work on a property I own or occupy, SIGNATURE OF <br />l am a registered builder OR ( )theauti~orizedrepresentative <br />Of a rogistered bwilder. <br />The work will be performed by a reSistered builder. <br /> <br /> LEHNER,. 6EME '~ DES I Dl~.l,ll:l AL <br /> i <br /> ~E <br /> t642 <br /> WARBLER <br /> t. ANE <br /> AURORA OR ¢7882 ~ARZON 6QUWTY NO <br /> ,wo <br /> <br /> ,S~RU.C~:U~E <br /> <br /> CENTURY ~MEA'BSW~'---'~4 <br /> <br /> SITE HUHBER: <br />' " . VALUATION: <br /> <br />TYPE: HAHUFACTUREI) STRUCTURE PERHIT OR Ap?LTCATION NO: <br />CONTRACTOR, NO. ~8799 <br /> MCMtNWVILLE FACTORY HOMES Il,lC <br />285~ 8 HWY 9~ W <br />MCHINNVILLE~ ~7128-88¢8 <br />PHONE: 967-8555 <br /> <br /> ITEN <br />NAI~UFAC'fURED STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTURED STRUCTURE STATE FEE <br />NANUFACTUREg STRUCTURE STATE SURCHARGE <br />NANUFACTURED STRUCTURE ZONING SIJRCHARGE <br /> <br />BUANTITY <br /> <br />AMOUNT <br /> $182.0~ <br /> $20.00 <br /> <br /> $15.00 <br /> <br /> , ,; :;::::: .TO~AL:~SSESSEB FEES $22&. le <br /> PREVIOUS RECEIPTS $0,80 <br /> TH~S RECEIF'T $226,10 <br /> <br />FAYEE: I E~.NER. GENE , RECEIPT 52298 <br />RECEIVED BY: DM2. .~ . CK CHECK.~: ~404 <br /> .... <br /> <br />PLANNING ACTION: <br /> PLA~ R?VIE~: BY ~ <br /> SE'P'I-IOI: BYT, ZiTZ-;'z]'_"ZT'-L'z'ZZZ,,:DAmE-~ "'-'"'--_ <br /> <br /> Ci('TY JUR'£SD~CTION:~ I~¥ ........... DATE <br /> RENARKS,~' NS <br /> <br /> ¥ <br /> <br />,SETBACKS: FR / ~ <br /> L S-....,,,~- <br /> RS"-_~"' <br /> <br /> sP'_'.Z,Z: <br /> <br />OFFICE COPY <br /> <br /> <br />