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MARION COUNTY BUILDING INSPECTION <br /> COMMUNll~f DEVELOPMENT CENTER ~) <br /> 285 Church Street NE * Room 132 * Salem, Oregon 97301.3.6.70 <br />Office Hours: 8:00-4:30 * Phone: (503) 588-5147 · 24-HR Inspection Line. (503) 588-7904 <br /> <br /> flAflUFACTURED DHELLING APPLICAT[OH <br />DATE/TIME = 01/12/9& 11=2f ACTIVITY HO : 95-12976 <br /> - APPLIED : <br /> <br /> PA6[ <br /> <br />WIIRK I)[:'RI~ r; I~I;]--]iNSPE]'!'T]]IbJ F'EE <br /> 210 HYli!RS S'f' <br /> <br />CROSS S~REF'I' : <br /> <br /> PARCEL SIZE : .0 AC <br /> <br />[)WI,IER NAHE : SCOTT, ROBERT C., & ALICE <br /> <br />APPI,,,llCANT <br />I'IAHE: : II,ISPECTOF~ JC <br />ADDRESS : <br /> <br /> I;'HOI,IE <br /> <br />COl,l'l F:~AC FI]R/ : I.)CCB ,,: <br />A(;I~],W : IN~,iH~EC.,TLIR JC <br />pHllI,IE : <br />]i NSTALI. EI~ : MD L!CEN,SE: <br />PHflNI:r <br /> <br />UN:I:T SI] I':T <br /> <br /> ASsessed '¢'e~s : <br /> <br /> Total payments: ,, 0;2) <br /> PAYI:}E: ]:NSPE, C'~OR JC : Balance ~ue ',, 6~,, <br /> <br /> T~IS IS NOT A PERHIT. THIS APPLIOAT[ON ~BBT ~ THROUGH A S~LTANEOUS REVIEW <br /> THE ISSUANCE OF A PER~IT. IT IS THE RESPONSIBiLItY OF THE APPLICANT TO ASS[IRE <br /> 'THAT ALL NECESSARY INFORMATION IS PROVIDED. AS ~ON AS ALL REDUIREHENTS OF THE <br /> RFV)EW HAVE BEEN HEI', YOU WILL ~E NOTIFIED THAT YOUR PERH~T HAS BEEH <br /> <br />P~)~.;A~ 0 E woru)..EY., HARIFON CFJlJI,I'FY BUILOIHI:; DIDF]]]'[~I... / BY L, ~iC.E <br />................................................................................................... F:F1R OFF ]:(']J:' . r <br /> <br /> <br />