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MARION COUNTY BUILDING INSPECTION <br />Sr:NATOR BLDG. NO. 225 <br />220 HIGH STRSET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder, <br /> <br />Other , <br /> <br /> SITUS ADDRESS: CONSTRUCTION TYPE~ <br /> <br />I, . ~o A!:~PEI,I DR .__.,.,,~ CONTRACT CITY: <br />,' A[JM~VIL. LE OR 97;f25 ~UMSVIL[.E <br /> <br />UGB: <br /> <br />ND <br /> <br />CATEGORY'. <br /> <br />OCCUPANT I=OAD: <br /> <br />MAq FACTc,~;'ED STR CT(RE ;-~ <br /> <br /> ~ITE NUMBER= 94-~96 " <br />PHONE',: 769'-'7744 , , <br /> <br />TYPE= MANUFACTURED STRUCTURE <br />COI'I'f'R4C'FOR,; I'lO,, <br />Daniel. L, Carver <br />11:~73 M:i.]I Creek Rd <br />Am~svi;L ].e,, 97325-8888 <br />PHONE: 769-7744 <br /> <br /> iTEM <br />M~NUF~C'TUt4:EDSTkL,,,,TURE <br /> F~:ACEMENT/CO(~N~ ST I ON <br />~ANUF'ACTU~<E <br />MA,UFACTURED STRUC~'URE STATE SURCFARGE <br /> <br /> FEES :']: <br /> <br />I~UANT I'fY AMOUNT <br /> <br />PERMIT OR APPLICATION NO: 9~52289 <br /> <br /> $21 ].. :10 <br /> ,;; ::,: $2:[J,,, 10 <br /> <br /> ;:;::; ~,,:: $8,, 80 <br /> PAYEE: Del Mc[;orM:J, ck , :::'";: ,':' <br /> ~:'~ INVO:[CE 54'749 <br /> ;i,:LE,,¢gl) BY: PM ]:i~1 CHECK $: 0 <br /> 'iREVIEW PROCESS ~HERE THE <br />I*THIS IS NOT A PERMIT.: ~¢ ................................................................ <br />~ ,FOLLOWIN~ MUST BE CON <br />ITHAT ALL NECEBSARY APPLICANT TO ASSURE <br /> <br />PLANNING ACTION: <br />PLAN REVIEtJ: ~Y <br />,ZONINC;: <br />: SEP"r i;C: BY DATE .............................. <br /> <br /> CITY ,..~URZSDSCT]:OH: BY D~'fE <br /> I;;'EH¢~RKS,.: HS~ ChRPORf' ' ............. ::"-'"', ..................... <br /> <br />SE'FSACKS,~ FIR. <br /> LS J.~; <br /> <br />Poem # MC ~-~e R~. 4~ OFFICE COPY <br /> <br /> <br />