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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 sm a registered Ouilder On ( ) the authorized rec~resentattve SIGNATURE OF APPLICANT; <br /> Of a registered builder, <br /> The work will be performed by a registered builder. <br /> Other <br /> <br />.............. ~E..~.~ t (~ ~/~.3 ......... !.~..~. ~ .~.~ ,..,.~ ,~.~.~ ............... tz~"c6~.. ............................................ ~6~'" <br /> KUEHNAST,~ ~AVI9 RESI~N'r ~AL. <br /> <br /> AURORA116~2 WARBLER LN OR 97882NE "~-t~&%.MAR!ON COUNTY ........... ~'~NO ................... <br /> <br /> BEAVERTON ~7~6 SITE NUHBER: 93-~876 <br /> PHONE: 678-7226 VALUATION: <br /> <br /> TYPE: HANUFACTURE~ STRUCTURE PERHIT OR APPLICATION NOT <br /> CONTRACTOR, HO. <br /> KUgHNAST. <br /> 18216 "C" NW WALl(ER RD <br /> BEAVERTON ~78~& <br /> PHONE: ~8-722~ <br /> <br /> ITEM ~.~, QUANTITY AMOUNT <br /> MANUFACTURED BTRUCTURE ECTION <br /> MANUFACTURED ~TRUCI'URE $~ATE FEE <br /> MANUFACTURED ~TRUCTURE S~ATE ~'" $~,:L0 <br /> HANUFAOTURED STRUCTURE ZQNII <br /> <br />PAYEE: KUEHNAST, DAVID <br />RECEZVED BY: DM2 <br /> <br />~ THIS IS NOT A PERHIT. <br />FOLLOWIN~ HUST BE <br />THAT ALL HECESSARY <br /> <br />$226.10 <br /> $0;00 <br /> <br /> $~. 00 <br /> <br />RECEIPT 57655 <br /> <br />CITY JURISDICT,T. ON,, BY ,~"~ DAl~;E,~___22 ..... ,?', <br />RF:MARK,% MFS NOME. ~ ...... ::~ <br /> <br />SETBACKS: <br /> <br />FR ! ~ <br /> <br />'M # MC 15~,.¢~ REV, 4/'~0 OFFICE COPY <br /> <br /> <br />