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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97'301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />The work witl be pertormed by a reDistered builder, <br />Other <br /> <br />,' OWNER; TAX LOT'. <br /> KRISE~ ROBERI' & BARBARA ,I ~ RESIDENTIAL <br /> <br /> le~ CARMEt. DR -- 47 [AtJfiSVILLE ~ NO I OCCUPANT LOAD: <br /> AUHSVILLE OR ~7~25 <br /> <br /> M~NUFACTORE9 STRUCTURE ~ <br /> <br /> MILL CREEK ESTATES <br /> <br /> SITE NUMBER: 94-e0857 <br /> PNONE: 769-7744 VALUATION: <br /> <br />TYPE: MANUFACTURED STRUCTUI;~lg <br />CQNI'RAc'roR~ NO. ~8238 <br />~aniel L Carver <br />11373 Mill Creek Rd <br />Au~svi110~ 77J25-0000 <br />PHONE: 76~-7744 <br /> <br />PERNIT OR APPLICATION NO: ?~5~221 <br /> <br /> ITEM <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTURED STRUCTURE STALE FEE <br />MANUFACTURED STRUCTURE STATE SURCHARGE <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $182.00 <br /> $20.00 <br /> $?.10 <br /> <br /> TOTAL ASSESSED FEES $211.10 <br /> PREVIOUS RECEIPTS $0,, 80 <br /> THIS RECEIPT $211.10 <br /> :~ BALANCE: :]DUE: $0.00 <br />PAYEE: Del McCormick ; <br /> INVOICE 55680 <br />RECEIVED BY: F'M TYPE. IN CHECK ~. <br /> <br />* THIS IS EOT A PERHIT. THIS APPLICATI~:'HUST GO ~ROUGH: A :REVIEU PROCESS ~HERE THE <br />FOLLO~[HG HUST ~E COHPLETED, IT [$ ~HE ~SPCHS[~IC[TY OF THE APPLICANT TO ASSURE <br />THaT ALL NECESSARY [HFORHAT~OH HAS 8EEH PRDV[~E~, <br /> <br />PLAN REVIEW: BY__~/~//~/.._ <br />ZONINg: 8Y _~2_~ ..... BATE: <br />SEPI'IC= BY ..... ~__ZZZZZZZ DATE <br />CITY ~URISDICTION: BY DATE <br />REMARKS: MS~ CARPORT <br /> <br />SETBACKS: FR 10 <br /> LS-25 <br /> <br /> RR 10 <br /> sPZ ..... <br /> <br />FORM # MC 15.56 REV. 4/90 OFFICE COPY <br /> <br /> <br />