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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 n registered builder, <br />Tl~e work will be performed by a registered builder. <br />Other <br /> <br />~ I)ATE: 8.3107194 TINE:; 12:47;'(3 <br /> <br />[,u'~ 9771 BROWNEt. L DR SE ~ [ [ ~ : <br /> <br />~ , ~ITE HUMBER= <br />5. <br /> <br />TYPE: HAHUFACTURED STRUCTURE <br />CONTRACTOR~ .NO, 45790 <br />VICTOR FRANK WILSON <br />41166 STAYTON SOlO DR S <br />STAYTON, 97~8~ . <br />PHONE: <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />ITEM <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTURED STRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE STATE SURCNAF~E <br />MANUFACI'tJRED STRUCTURE ZONING SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AHOUNT <br /> $'L82.00 <br /> $20.00 <br /> ¢9.10 <br /> $15.08 <br /> <br />~;226,,10 <br /> $0.00 <br /> <br />BALANCEDUE $0,,00 <br /> <br />PAYEE: RECEIPT <br />RECEIVED BY: MB ................................... TYPE: CHECK ~: 2781 <br /> <br />* T~IS IS NUT A PERHIT. THIS APPLICATIOH' MUST GO,THROU~H:A REVIEW PROCESS WHERE THE <br />FOLLOWIHG MUST BE COMPLETED. IT IS:THE RESPOHSIB[LITY OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY IHFOR~ATiOH HAS,DEEH PROVIDED., <br /> <br />I:LANNINL; ACTION: ...~- ~ . ~ / <br />PLAN RE, VIEW~ BY .~._... DATE ~ <br />ZOqlNG. DY _~_.. DATE <br />SETTIC: BY~............ DATE-"~--- R 8'~"~" <br /> <br /> REMAR~xS: MS PI. ACEMEN~ ............... ~ .................... ~ ~ ~ ......... <br /> . <br /> <br /> <br />