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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGR 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 wlJl be performed by a registered builde¢, <br />Other, <br /> <br />SITUS AD~RE~ '. CONSTRUCTION TYPE: ' : <br /> <br /> AUMSVILLE OR 97~2',~ ~UHSVILLE ~0 : <br /> MCHUE~g~U[[ED .S HdJE~U~[ ...................................... <br /> <br /> 518 VALLEYWOOD gR SE ~ <br /> SALE~ OR 9'73~6 SITE NUHBER: ~5-eeei5 <br /> PHONE: ~73,-.1588 VALUATION: <br /> <br />TYPE; MANUFACTURED STRUCTURE PERMIT OR <br />COlq'rRACTOF¢~ N0,. 14876 <br /> Western Living Homes <br />4835 Por'i':],and Rd NE <br /> <br />PIqOI4E: <br /> <br />HANOF'ACTURED S'fRUCTURE ~[,.ACEMC."NT/CONNECTtQN <br />HANUFACTURED STRIJCTURE STATE FEE ' <br />HANUFACTURED STRUCTURF. i STATE SURCHARGE, ,! <br /> <br />PA,Y.E[:. Cap~.'l'.'ol Awnlr~g / Saht <br />RECEIVED ]BY: F'H <br /> <br />$ THIS IS NOT A PERMIT. <br />FOLLOWIN6 MUST BE COMPLETI~.. <br />THAT ALI. NECESSARY <br /> <br />QUANTITY <br /> <br />INVOICE <br />:CHECK ¢: <br /> <br />AMOUNT <br /> $1. L12, D8 <br /> $2D,, DO <br /> $9,, <br /> <br />$211,,10 <br /> $O,,DD <br />$211.],D <br /> <br />SD.DD <br /> <br />63166 <br /> D <br /> <br />'iREVIEW PROCESS WHERE THE <br /> APPLICANT TO ASSURE <br /> <br />SETBACKS: FR 1~ <br /> LS'"15 <br /> RS--15 <br /> RR'"15 <br /> SF'~ ...... <br /> <br />OFFICE COPY <br /> <br /> <br />