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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: 888-5147 8:00 - 4:30 <br /> <br />I am performing wgrk OR a property I own or ocougy. <br />t am 8 registered builder OR he au ho zed represen a ye SIGNATURE OF APPLICANT: <br />of a registered builder, <br />The work will be performed by a registered buiIde¢. <br />Other <br />I Rave read and agree to the terms stated on the reverse side of <br />this document, <br /> <br />· dW~R;DATE: 04/07/94 :r]'ME~. 10,~ 152 lB ;, ?~X FO¥: I GAT~GORY: <br /> <br /> [8244 MILl_ CREEl( RD SE ~ CONTRACT CITY: : UGe; [OCCUPANT LOAD: <br /> AIJHSVtL.LE OR 9732u ~MARION COUNTY i NO <br /> <br /> MANUFACTURED STRUCTURE "~ <br /> <br />352 MOHSON <br />$ILVERTOI% OR 97L'181 SITE NUHBER: ?4-08298 <br />PHONE: 87~-..11~ VALUATION: <br /> <br />TYPE: HAHUFACTURED STRUCTURE <br />CONTRACTOR~ . NO. <br />CO~I_.EY, HIKE <br />352 MOflSON <br />$ILVIERTON,, OR 97;~81 <br />I-'FIO NI,-T.: 873-11~9 <br /> <br />PERHIT ~R APPLICATIOH NO: ?854848 <br /> <br /> ITEM <br />MANUFACTURE]) STRUCTURE PLACEMENT/CONNECTION <br />HANUFACI'URED ~TRUCTURE STATE FEE <br />MAI'IIJFACTURED STI"~UCTURE STATE SURCHARGE; <br />MAI,IUFACTUEE'D STRUCTURE ZONING SURCI4ARGE <br /> <br /> OTAL ASSESS~ FEES <br /> RE¥IOQS ~ECglPTS <br /> THIS RECBZPT <br />. B'Ab~NOE, DUE <br /> <br />PAYEE: HOLES, RAYMOND <br />RECEIVED BY: PM <br /> .... T~PE~ <br /> <br />THAT ALL NECESSARY <br /> <br /> QUANTITY AMOUNT <br /> s~82.00 <br /> $20.00 <br /> $9. <br /> $I 5.00 <br /> <br /> $22&~1o <br /> $o.oo <br /> $22&,10 <br /> <br /> $0.00 <br /> <br /> RECEIPT 56514 <br />CE CHECK ~: ~2 <br /> <br /> REVIEW P~SCESS WHERE THE <br /> TO ASSURE <br /> <br />F:'I-ANNIi~II;' ACTION: ......- ,, --.... ( .' <br /> <br /> C'rFy J !R~S,D. IC"I:ON ~ DATE <br /> HEHARI($: Mb~ AU'f FI .T./4c(EPE~CIF-EXISTING"'HOOSE'"W/MS . <br /> <br />rOmM# ?c ~,.~.~.,. 4,~o OFFICE COPY <br /> <br /> <br />