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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 22S <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 L 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I a~ a registered b~iK~er OR { ) the authorized representative SIGNATURE OF APPglCANT._ .................... <br /> <br />The work will be performed by a registered builder. <br />Other <br /> <br /> ........... tAX LOTi ............................ ' 6~f~eCRY'. <br /> SANTIAH HOMES RESIDENTIAL <br /> <br /> 1~8 CARMEL DR -- CONTRACT CITY'. UGS: OCCUPANT LOA~: <br /> AtJHSV~L]_E OR 77325 AUMSVZLLE NO <br /> <br /> ~ANOFACTURED STRUCTURE ~t <br /> <br /> 11~; MILl CREEK RD <br /> AU~SVIL. LE~ 0R ~7325 ~ SITE NUHB~R: ~-8~949 <br /> PHONE: 75¢-7744 ~ VALUATION. <br /> <br />TYPE: HAHUFACTURED STRUCTURE PERHIT OR APPLICATION NO: <br />CONTRACTOR, NO. Z82Z8 <br />Daniel L Carver <br />11~7~ Mill Creek Rd <br />Aumsville. 97~2§-0080 <br />PHONE: 769-7744 <br /> <br /> ITEM <br />~ANUFACTURED STRUCTURE P~ACENENT/( <br />~ANUFAOTURED STRUCTURE $~ATE <br />~ANUFA6TURED STRUCTUBE S~ATE <br /> <br />R:;CEI VEl) IilY: <br /> <br />THAT ALLNECEBSARY <br /> <br />BAL NCE DUE <br /> <br />9851~61 <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $182.00 <br /> $20.0~ <br /> <br />$211.10 <br /> $0.00 <br />$21:1..10 <br /> <br />$0.00 <br /> <br />INVOi[CE ,53789 <br />CHEC~ ~. 0 <br /> <br /> WHERE THE <br />APPLICANT TO ASSURE <br /> <br />PLANNING ACTION: <br /> PLAN REVTEW: BY ,:) <br /> <br /> SEPTIC; DATE ................ <br /> <br /> CI. TY JUR.[SD.[I.,lr ION. BY DATE <br /> RE:MARKS: NS, CARPORT ............ ' <br /> <br />SETBACKS: <br /> <br />PR 11 <br />LS--10 <br /> <br />RR-"I. 0 <br />sP2 ........... <br /> <br />POeM # UC ~s-s~ ~v. ~ OFFICE COPY <br /> <br /> <br />