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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 />of a registered builder. <br />The work will be pedormed by a registered builder, <br /> <br /> ; TAX LOT: [ ~OR'¢: <br />fiARTINEZ~ F'AUL i 57706-060 / RE'SIDENT);~L <br /> <br /> AUHSVILLE O~ 97~25 ~ AUMSVILLE ~ NO <br /> <br /> RESIDENTIAL ACCESSORY STRUCTURES ~ <br /> <br /> EVERGREEN MOBILE PARK <br /> <br /> : SITE HUHBER: ~-~278~ <br /> PHONE: 74B-~8&~ ~ VALUATION: $2.~6~.~ <br /> <br />TYPE: BUILDING <br /> <br />CONTRACTOR~ HO. <br />MARTINEZ,~ PAUL <br /> <br />PERMIT OR APPLICATION NO: <br /> <br /> 9847129 <br />ARCI4ITECT/ENGINEER~ NO. <br /> <br />FHONE,, 749-~8&0 PHONE: <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE <br /> <br />F?YE]£: HAR1'IIqEZ. PAUL <br />~ECEIVED BY: F'H2 ................................................ <br /> <br />QUANTITY AMOUNT <br /> $~8.50 <br /> $25. ~2~ <br /> $],. 9~: <br /> <br />$65.46 <br /> $0-00 <br /> <br />$0..0~ <br /> <br /> 51472 <br />TYPE: IN [;HECK ~: 0 <br /> <br />* THIS IS HOT A PERHIT. THIS ,APPLICATION HUST GO THROUgh A REVIEW PROCESS WHERE THE <br />FOLLOWIN~ HUST BE COMPLETED. IT ZS THE' RESPONSIBiLITY'OF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY IHFORHAT[OH HAS' BE~ PROV,I~E~." ' ' <br /> <br /> ZONIHG,, BY ' .... DATEXT-T ..... r ..... TOTA, SQ FT: 268 <br /> . , .. , ...................................... b I-,S .... <br /> SEFT].(,., BY .................. _ DATE . . STORIES:' 1 RS-"~ ...... <br /> PLAN. ACTION: RR"-I <br /> CITY ,JliRIS~ICTIOW: BY ................ DATE .............. ENERGY PATH: <br /> RE~ARKS: CARPORT <br /> <br />FORM ~ MC 1J~'55 REV, 4/~ OF FICE COPY <br /> <br /> <br />