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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 />OATE: 09/25/92 TIME: 15:28;17 <br />HEYER 5UDY ~ 57706-000 RESIDENTiaL <br /> <br /> AUMSVILLE OR 97525 ~MunovlLL~ NO i <br /> <br />8UI'L~ING: ~ ND. OF BEDROOMS <br /> HANUFACTURED STRUCTURE ; 2 <br /> *~o,~ss: .................................................. ~G~6,ViSid~l ....................... <br /> EVERGREEN ESTATES <br /> SAHE ............................................. <br /> SITE NUMBER: 92-03388 <br /> PHONE: VALUATION: <br /> <br />iLOTL BLOCK: ~'~CTION: !TOWNSHIP: [ RANGE: !ZONE: j MAP: <br /> <br /> 6 , ~ 25 , 8S , 2W ~ RM · <br /> <br />W DTH IDEPTH AREA: !UNITS: IRREG, LOT: iCORNER: <br /> 55 90! 4950. SF ; NO i NO <br /> <br /> TYPE: HANUF~CTUREO STRUCTURE PERH[¥ OR ~PPLICAI-JON NO: 42?30 <br /> CONTRACTOR, NO. <br /> Santicm Homes <br /> 11373 Mill Creek Rd <br /> Aumsv£11e, ~7125-0000 <br /> PHONE: 7&9-7744 <br /> <br /> ITEM QUANTITY AMOUNT <br /> MANUFACTURED STRUCTURE P~ACEMENT/CONNECTION $182.00 <br /> MANUFACTURED STRUCTURE STATE FEE $20.00 <br /> MANUFACTURED STRUCTURE STATE SURCHARGE $9.10 <br /> <br /> · $2ii.io <br /> :'PREVIOUS RECEIPTS $211.10 <br /> ,:THIS RECEIPT $0.00 <br /> <br /> BALANCE DUE $0.00 <br /> RECEIVED BY: PB CHECK ~: 0 <br /> <br /> ECTION, ALL HECH~NICAL, AND ELECTRICAL <br /> CONNECTIONS ARE REQUIRED;TOBE,CONPEE~ED'::UPO~:REQUEST:::.EORrTHE FIRST <br /> RAY OF THE ITEHS ARE #ILL BE REOUIEEO. <br /> PERH[T IS VALID FOR SIX UPON NRITTEN REGUEST FOR <br /> AN EXTENSION. PR[OR TO THEEX~!~:R~[[O~,OR~E:OE;:iT~E:'PERN[T;.:i~F CONCTRUCTIOfl FAILS TO <br /> NEET ~LL REOUIRENEN~$ OFSTRTE:;i:LAHSiAHO:::HAR[ONCOUNTY, B~ILDING AND ZONING OROINANCES, <br /> PLANNING ACTION: : <br /> SETBACKS: FR <br /> LS~15 <br /> RS-15 <br /> RR-IO <br /> SP~ <br /> RENARKS~ MOBILE HOME PLACEMENT <br /> ~OODLEY, HARION COUNTY GdZLDING OFFICIAL / BY _~_ <br /> DONALd,. <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV, ,~3 <br /> <br /> <br />