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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 />of a ¢eglstered builder. <br /> <br />TYPE: KANUFACTURED STRUCTURE <br />CONTRACTOR.~ NO,, 70085 <br /> J.~n"r'y L Marple E~terpr~.ses IY~c <br />99,50 SE 82nd Aw~ <br /> <br />PHON~:: ~77-8228 <br /> <br />PERMIT OR APPLICATION NO: 9~51084 <br /> <br />HANUFACTURE9 STROCTURE PLACEMENT/CONNECT[ON <br />HANUPACTUR[D STRUCTURE STATE FEE <br />MANOFACTURED STROCTURE STATE BORCHARGE <br />MANUFACTURED STROCTURE ZONING SURCHARGE <br /> <br />TOTAL. ASSESSED FEES <br />PREVIOUS RECE £PT$ <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTZ 'rY AMOUNT <br /> $182.00 <br /> $20.00 <br /> $~'. lB <br /> $:i. 5 ~ 00 <br /> <br />$~,~,6,,10 <br /> $0.00 <br />$226.10 <br /> <br />$0,00 <br /> <br />PAYEE: JOHNSON, BILLY G RECEIFT 5~425 <br />RECEIVED BY: P~ ....................................................... ~YPE. CK CHECK %. <br />· THIB IS HOT A ~IT. REVIEW PROCESB WHERE THE <br />FOLLOWIN~ MUST BE APPLICANT TO ASSURE <br />THAT ~LL NECESSARY OH HAS' <br /> <br />Fl ANNIN[,,. ACT.tON,, <br /> PLAN REV]:SW: BY ~ ' DATS"-- ~-/t-'~¢~ SETBACKS: FR~O <br /> <br /> CITY JU~,.[SOlC;.[OH. BY ~ATE Sp''''f'''~'~ <br /> Ri~ffARKS: NS~ SS~ EL,¢ ~E ........ ~ ...................... <br /> <br />FORM # MC 1 S.B6 REV. &/~O OFFICE COPY <br /> <br /> <br />