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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 />Other ......... <br /> <br /> DA'rE; 04/2'1/92 <br /> OWNER: <br /> <br /> ~R'f'iNEZ, PAUL <br />SITUS ADDRESS: <br /> <br /> 255 YE~ ~'[' <br /> AUMSVILLE OR 97325 <br /> iAUMSViLLE <br />USE OF SULLYING: <br /> <br />TAX LOT: , CATEGORY: <br /> 67'F06-000 RB~iOEN~ 1/~ <br />CONSTRUCTION TYPE; OCCUPANCY: <br /> <br />MAILING ADCRE~; MANU FAC'f ~t RED' ' S'f"RUOTU RE ........ S~J~61v~si54; <br /> <br /> 484? ADZE 5'f' ~g EVE~REEN M~LE PARK <br /> SALEM OR 97301 <br /> PHONE: 363~1383 S~7'E NUMBER: 92-01558 <br /> VALUA'f' iON; <br /> <br /> 55 801 SF ~ YES NO <br /> <br />'[YPE: MANUFAC'FUREO ~'Fk-mJC'f'URE PERMIT OR APPLJCA'flON NO: 903-~494'"o ' <br /> <br />CONI'RAC'f'OR, NO. <br />M.AR'F'iNEZ, PAUL <br />4847 ADOBE ST SE <br />~ALEM OR 97301 <br />PHONE: 363-'1383 <br /> <br /> ITEM <br />M~NNUFAC'F'URED ~'I'BUC'f'URE PLACEMENT?CONNEC'TiON <br />FCC, NUFACTURED STRUCTURE STATE FEE <br />F4ANUFAC'f'URED STRUCTURE 8TA'rE 5~URCHARGE <br /> <br />TOTAL ~E~ED P'E~ <br />PREViOUs RECEIPTS <br />'T'NI~ RECEiP'I' <br /> <br />QUANTITY <br /> <br />AIvlOt,.IN T <br /> $182_00 <br /> Szo.oo <br /> $9_!0 <br /> <br />$211_'10 <br /> $0.00 <br /> <br />BALANCE DUE $0,00 <br /> <br />PA~BE: MAR'f'IN~Z, PAUL ~4,~ ~NV~iCE 4154~ <br />RECEiVBD BY: Pt~ ~tl~ ':YPE~ IN CHECK ~- 0 <br /> <br />SEPTIC; BY ............................................. DATE ....................................................... CITY JURiSDiCTION: BY ..............................DATE <br />ZC)NING; BY DATE SETBACKS: P'R AS L~ PER F~ si'rE RR PLAN SP <br />REr4ARKS: M0t31]['gE'"'FlOf~IE PLACEMERT ..................................... <br /> <br />PLANNING ACTION: <br /> <br />OFFICE COPY <br /> <br /> <br />