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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 a registered builder OR ( } the authorized representative <br /> <br />........ EUSOi%, <br />~ITU~ AO~R~E$'. I CON~tTRUCTION TYPE: OCCUPANCY; <br /> <br /> "'2184 GOLF' CLU~ RD SE <br />AUMSVILLE OR, 9?32'5 MARION COUNTY NO <br /> <br /> PHONE: 749-2~68 <br />WIDTH'. EPTH: <br /> <br /> SITE NUHBER: <br /> VALUATION: <br /> <br />SECTION t TOWN$.IP'. RANGE: ZONE'. MAP'. <br /> <br />TYPE: HANUFACTURED STRUCTURE PERHIT OR APPLICATION <br />CONTRACTOR, NO. <br />FUSON, DESMOND & EVELYN <br /> <br />PHONE: 749-2e68 <br /> <br /> ITEM <br />NANUFACTUREQ STRUCTURE <br />MANOFACTURED STRUCTURE <br />MANOFACTURED STRUCTURE <br />MANUFACTORED STROCTORE <br /> <br />PLACEMENTA TION <br /> <br /> PAYEE: FCSON~ DESMOND <br /> RECEIVED <br /> <br /> · THIS I8 NO1 A PERHIT, <br /> FDLLOMIN& HUST BE <br /> THAT ALL NECESSARY <br /> ? utiT <br /> NoN - <br />PLANNtN6 AC rloN. <br /> PLAN REVIEW: BY <br /> ZONING: BY <br /> SEPTIC: BY <br /> <br /> CITY JURISDICTION. <br /> REMARKS,, MF'G <br /> <br />QUANTITY AMOUNT <br /> $182.,00 <br /> $20.00 <br /> $?.10 <br /> $15.~0 <br /> <br /> $226.16 <br /> $0.00 <br /> $226.10 <br /> <br /> $0.00 <br /> <br />RECEIPT 54058 <br />CHECK ~." <br /> <br /> PROCESS WHERE THE <br />~PPLICRNT TO ASSURE <br /> <br />FORM,*'ATTACRED <br /> <br />,,~EIBACKS. FR ,~.¢ <br /> LS'--2¢ <br /> <br />FORM # MO 15-5~ ~E~, 4~0 OFFICE COPY <br /> <br /> <br />