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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 - 4:80 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or occupy. <br />I Adq a registered builder OR the authorized representative <br /> of 8 registered builder, <br />The work wirl be performed by 8 registered builder, <br />Other_ <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document, <br /> <br /> NII_L (;REEl( ESTATES (NH PARK) RESIDENTIAl_ <br />SITLJS ADDRESS: CONSTRUCTION TYPE: OCCUPANCY'. <br /> <br /> AUHSVILLE OR ~7~25 AUHSVILLE <br /> HANUFACTURE~ STRUCTURE <br /> <br /> ~!~L, ~RE, EK ESTS~ES ~H, PSRK <br /> 7725 MILL CREEK RD SE <br /> AUHSVIL. LE~ OR ~732S SITE NUMBER: ~3-~352~ <br /> PHONE~ 767-~8& VALUATION: <br /> <br /> 8S <br /> <br />TYPE: HANUFACTURED STRUCTURE <br />CONTRACTOR~ NO. 38238 <br />Baniel L Carver <br />1].373 Mill Creel( Rd <br /> <br />PHONE: ?69-??44 <br /> <br />PERMIT OR APPLICATION HO: 7858572 <br /> <br />ITEH <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTURED STRUCTORE STATE FEE <br />MANUFACTURED STRUCTURE STATE SURCHARGE <br />MANOFACTUREB STRUCTURE ZONING SURCHARGE <br /> <br />PAYEE: Del HcCorM~ck <br /> <br />QUANTITY <br /> <br />AHOUNT <br /> $182~00 <br /> $20.00 <br /> $9.:L0 <br /> <br />TOTAL ASSESSES FEES $226,10 <br />PREVIOUS RECEIPTS se. Be <br />THIS RECEIPT $226.18 <br /> <br />BALANCE DUE $0.00 <br /> <br />INVOICE 52988 <br /> <br />RECEIVED BY: PH ................................... TYPE: IN CHECK ~: 0 <br />* THIO IS NOT A PERHIT. THIS APPLICATION MUST GO THROUGH A REVIEN PROCESS WHERE THE <br />FOLLOWING HOST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY INFORMATION, HAS BEEN PROVIDED. <br /> <br />PLANNING ACTION: /~,~'"~' <br /> PLAN REVIEW, <br /> ~ONING: BY <br /> <br /> CITY JURIS~ICTIOH: BY ~ATE <br /> REMARKS: MS~ CARPORT =-SPOOR-12 <br /> <br />SETBACKS: FR 11 <br /> LS-15 <br /> RS-'15 <br /> RR-10 <br /> <br />~O.M # MC ~S,~ n~v. 4~0 OFFICE COPY <br /> <br /> <br />