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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 />t am performing work on a property I own or occupy. <br />lamaregisteredbuiiderOR( ) the authorized representative <br />of a registered builder, <br />¥1~e work will be performed by a registered builder, <br />Other_ <br /> <br />I have read and agree to the terms stated en the reverse side of <br />this document, <br /> <br /> DATE: 04/22/92 <br />: OWNER: <br /> GREEN, JOE <br /> <br />TIME: 16:06:27 TAX LOT: <br /> CONSTgUCTION TYPB: <br /> <br /> : CATEGORYZ <br />7055'1 ] ? <br /> OCCUPANCY: <br /> <br />RESIDEN'f'iA[ <br /> <br /> 11882 THRUSH COURT <br />AURORA OR 9'7'002 <br /> <br />MARION COUNTY NO <br /> <br />: ~A]LIN~ADDRESS: <br /> <br /> 20 NALKING WOOD OR <br /> LAKE OSNEGO, OR <br /> PHONE: 9?002 <br /> <br /> . IBLOCK: : sEdtiON: ToWNsHIP: <br /> <br /> 18 19 , 33 <br />WlBTN; iDEPTH: ARBA: UNITS: <br /> 85 95: 6] ?5. <br /> <br />SUBDIVISION: <br /> <br />tEN !'URY MEADOWS NO 4 <br /> <br /> SiI'E NUMBER: 92-0'1583 <br /> VALUA'f' I ON: <br /> RANGE: >'ONE: <br /> <br />3S , ]N <br /> IRREG LOT: :CORNER: <br />5F NB NO <br /> <br />MAP: <br /> <br />'rYPE¢, 1'4ANUFAC'f'URED STRUC'f'URE PERM, iT OR ,APPL£CA'f'ION NC): 9039537 <br /> <br />OL)NI'RAC'IOR, NO- ?397? <br /> ~NAiN C~NS'fRUC'f ~ON <br />206 SE ~l'H <br />'f'R~'I'OALE ~ 97068.~0000 <br />PHONE: <br /> <br /> 1 T EM QUAN f' I l'Y AIvlOUN T <br />~NUP'AC'f'URED STRUCTURE P~CE~'r'/CONNEC'f'I~ $182.00 <br />~ANUFAC'TURED STRUCTURE $'f'AT~ FEE $20,0D <br />~UP:AC'7.URED ~'f'RUC'f'URE STATE SU~ARGE $9. <br />~ANUF'AC'fURED srRuc'f'URE ZONtNG SURCHA~E $15,0~ <br /> <br /> TOTAL AS~S~O FEES $226,10 <br /> PREVi~S RECEIPTS $0. O0 <br /> 'FH~S RECEIPT $225.10 <br /> <br /> BALANCE ~E $0_00 <br /> <br />PAYEE: GREEN, JOE RECEIPT <br />RECEIVED BY: CL TYPE: CK CHECK ~: <br /> <br />~ TH~$ ~$ NOT A PB~iT. THiS APPLI~TI~ ~ST ~ fH~ A R~iB P~ ~gRg THE P'OL~Z~ <br />~ST BE ~PLETED. 1T 18 THE R~S~B~LITY OF THE APPLI~T TO ~RE THAT ALL NEC~ <br /> <br />ZONING: BY ~- DA'FE....~$.... SEf'BACKS: P'R Z° LS ~ RS -~ RR ~-O <br />REMARKS; MFG'"'RO~IE ............................................................................. <br /> <br />PLANN i NG ACT l ON: <br /> <br />OFFICE COPY <br /> <br /> <br />