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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 /> am a registered builder OR ( ) the authorized representative <br /> of a registered builder. <br /> <br />Other. <br /> <br />have read and agree to the terms stated on the reverse side of <br />th~8 document, <br /> <br />,owNER:DAlE; 03/e2/94 TIHE: ?.48.07 ' tax LOT: ....... <br /> SAUTTER, DON & JANET ~ RESIDENTIAL <br /> <br />; AUMSVILLE , OR ~7325 ~AUMSVILLE [ bio <br /> ....... ; ............................................... .............................. ~ ................................................................. ~ <br /> <br /> SITE NUHBER: 94-$~856 <br /> <br /> 1~ ], 6g ~ YES 2 ~'~::,S , <br /> <br />TYPE: HANUFACTURED STRUCTURE <br />CONTRAOTOR~ NO. 38238 <br />Daaiel L Carver <br />11373 Hill Creek Rd <br />Aumsviile. 77325-80~0 <br />?HONE: 769-?744 <br /> <br />PERMIT OR APPLICATION NO: 985321? <br /> <br /> ITEM <br />· ' S fRUCTURE PLACEMENT/CQNFIECTION <br />· ..~ ..... .~', S .;TURE STATE FEE <br />MAN F~.,T ..... ,~ ...... . . 1% SURCHAROE <br /> <br />QUANTITY AMOUNT <br /> $182.00 <br /> $20.00 <br /> <br />TOTAL ASSESSED FEES $? ....,, ,,....,* <br />~REVIOUS RECEIPT9 $8,,~ <br /> f $211.1~ <br /> <br /> ,:,*.'~.. ::~ :'.,~. $0,00 <br /> <br />PAYEE: Del McCormick INVOICE 55~77 <br />RECEiVEB BY: PM ....................................... I'¥~E: [~ CdECK ~: 0 <br /> <br />:~ THIS iS NOT A PERHIT. THIS APPEICATIOH HUST 60 THROU6H A REVIEW PRQCESS WHERE THE <br />FOLLOWIHC HUST BE CUHPLETED. IT IS THE RESPOHSIBZLZTY OF THE APPLICAHT TO ASSURE <br />'rHAT ~LL HECESSARY IHFORH~TIOH HAS ~EEH PROVIDED. <br /> <br />PLAN REVIEW: BY //~¢/ <br />~ONING: BY_ _~'-_~_]S]]]] .............. <br /> <br />CITY JURISDICTION: BY DATE ......... <br />REMARKS: MEG HOME, CARPORT--- <br /> <br />SETBACKS: FR 44 <br /> LS-10 <br /> RS"I5 <br /> RR-2S <br /> sP]___ <br /> <br />FORM # MC 15,56 REV. 4/90 OF FiCE COPY <br /> <br /> <br />