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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 />[ am performing work on a property I own or occupy. ~ ~-~ <br />Other. <br /> <br />CONSTRUCTION TYPE: <br /> <br />AURORA OR 97~J02 <br /> <br />: CONTRACT CITY: ! U(~B: <br />:MAR,ON COUNTY <br /> <br />: CATEGORY; <br /> <br />iRES!DENT}:AL <br />OCCUPANCY~ <br /> <br />iOCC~PANT LOAOl <br /> <br /> MAI'.ItJ[-'ACTURED S]'F:L CTt BE' ......... <br />MAILING ADDRESS'. SUBDIVISION; <br /> <br /> AUROR¢~ OR , ~7~g2 SZTE HUMBER: <br /> PII'II'.)~IE: 678"'2219 VALUAT];ON: <br /> <br /> ~ i , , , <br /> <br />TYPE: HAHUFACTURED STRUCTURE PERHIT OR APPLICATION NO: <br />I::f:lN'f F:ACTOI~ <br />kR):EGER,~ I\EV:[N (BUYER) <br />:I.~834 ~UNTINI; LN <br />AUFd]F(A,, OR ~7~2 <br />F'HONE: 678-22:L? <br /> <br /> ITEM <br />MANUF'ACTUR[:D STRUCTURE PLaCeMENT/CONNECTION <br />MhNUF~CTUREI) STRUCTURE BT~I'E FEE <br />MAHUF~CI'URED STRUCTURE STATE SURCHCRQE <br />MANUF'~CTURED STRUCTURE ZON:[N5 ~DRCH~R6E <br />J'i~NUF~CTtJRED SFRUCTURE !'UFd,I¢IKE ~/~,J $UIL~ZN6 INSPECTION <br />M~NUF'~CTURI~'I> STRUCIURE TURNF'~KE ~/~ PUBLIC <br /> <br /> TOiF~L ~SSESSE~ FEES <br /> PREVIOUS RECEIPTS <br /> THAIS RECEZPT <br /> <br /> : ~ALANCE <br /> <br />$,_76,, 10 <br /> $0,99 <br />$,~76.10 <br /> <br />$0. <br /> <br />PA~iT.E: KR:[EGEI% KEVIN (BUYER) RECEIPT 59444 <br />RECEZ[VED BY: gl,. _ ................ _~ ..................... :____ TYPE: CK CHECK $: 876 <br /> <br />* THt~ IS NOT A PERHIT. THtS APPLICATIO~ HU~T ~ THROUGH A REVIEW PROCES~ WHERE THE <br />FOLLOWING ~UST BE COMPLETE9. IT IS THE : RESPONSIBILITY OF THE APPLICAHT TO ASSURE <br />THAT ALL NECESSARY INFORHATIOH :HAS BEEN PROVIDED. <br /> <br /> OFFICE COPY <br />FORM # MC ~5-56 REV, <br /> <br /> <br />