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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 />I am a registered builder OR ( ) the authorized reCresentative <br /> <br />The work wIH be Derformed bt/a registered builder. <br />Other, , <br /> <br /> DATE." 01/29/93 <br />OWNER: <br /> HORRISON, RONALD <br /> <br /> TINE: 10:47:25 <br /> <br /> I: 56115000 i' RESIDENTIAL <br /> <br /> 9844 KEENE LN SE <br /> ~OOOUPANT LOAD: <br />AUHSVZLLE OR 97525 [~fEN ~OUNTY~ NO <br /> <br />MANUFACTURED STRUCTURE <br /> <br />SAME ~ SITE NUHDER: 9~-00~8S <br />PHONE: 749-1018 VALUATION: <br /> <br />LOT: <br /> <br />WIDTH: <br /> <br />TYPE: MANUFACTURED STRUCTURE PERMIT OR APPLICATION <br />CONTRACTOR, NO. <br />MORRISON, RONALD <br />SANE <br /> <br />PHONE; '749--J. 018 <br /> <br /> ITEM <br />MANUFACTURED STRUCTURE ZONING SURCHARGE <br />MANUFACTURED STRUCTURE STORAGE PERMIT <br /> <br /> ]TOTAL ASSE$$EO FEES <br /> PREVIOUS RECEtP~S <br /> THIS RECEIPT <br /> 8~LANCE <br /> <br />9045068 <br /> <br />QUANTITY AMOUNT <br /> $25.00 <br /> <br />$40.00 <br /> $o.oo <br />$40.00 <br /> <br />$0.00 <br /> <br /> PAYEE." NORRISON, ~N~&q[l'~ : : : . R~¢(~pI 4724.2. <br /> <br /> · THIS I8 NOT A PERMIT. THIS APPLICATION MUST:GO THROUGH A REViE~ PROCESS WHERE THE <br /> FOLLO~IN6 MUST BE COMPLETED. IT: IS THE RESPONSIBILITY OF THE ~PPLICRNT TO ASSURE <br /> THAT ALL NECESSRRY INFORHRTION~ HAS BEEN PRO~I~ED ~ ~ ~- ' -- ~ , <br /> <br />PLANNING gCTION: <br /> <br /> S ¢T sYi] ....... lllllll: <br /> C~TY ~URiSDICTION; BY D~TE .... SP <br /> REMARKS: <br /> <br />FORM # MC 16-~ REV, 4/~0 <br /> <br />OFFICE COPY <br /> <br /> <br />