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MARION COUNTY BUILDING INSPECTION <br /> SENATOR SLDG. NO. 225 <br /> ,-, 220 HIGH STREET NE <br /> -' SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 //~ .~/ <br /> ,.HOU. <br /> <br /> I0~~ ¢er~ti¢~:r~L~l~il~r OR )the authori,ed representstive SIGNATURE OF APPLIOAN~~~ <br /> T,eworkwillbe¢edor~edbyaregtsteredb,ilder.Other <br /> <br /> HOWELL/IqOOYMAN VIV~AN H 718580~e ~ RESZDENflAL <br /> <br /> 114~5 JAHE8 WAY MA~IoIq CouNTY .NO <br /> AUMSVILLE ~R 973'25SE <br /> <br />MAILING ADDRESS; ~U~DIVISION; <br /> <br />TYPE: HANUFACTURE~ STRUCTURE: PERHIT OR APPLICATION HO: <br />CO ,ITRACTi:IE. NO. <br />HOWELL/HOOYHAN VIViAN M <br />SAME <br /> <br />PHONE: 749-1287 <br /> <br /> ITEM <br />MANUFACTURED STRUBTUr~E ~ACEMENT/ <br />HANUFACI'URED STRUCTURE S:TATE <br />MANUFACTURED STRUCTURE 8'~TE <br />HANUFACTURED STRUCTURE ZJ~Nlt <br /> <br />PAYEE: HOWELL/HOOYHAN Vi <br />RECEIVED BY: cl <br /> <br />~ THIS IS HOT A PERH~T. <br />FOLLOWING HUSTBE <br />THAT ALL HECESSARY <br /> <br />PLANNING ACTION: <br /> PLAN REVIEW: BY % <br /> ZONING: BY <br /> ~EPTIC: BY'" <br /> <br /> CITY JURISDICTION: <br /> RENARKS:~ MS/SE/SS <br /> <br />9i!55431 <br /> <br />QUANTITY AMOUNT <br /> $182.00 <br /> $20.00 <br /> <br /> $15.00 <br /> <br />$226.10 <br /> $0.00 <br />$22&,10 <br /> <br />$0.00 <br /> <br />RECEIPT 57901 <br />CHECK ~: 850 <br /> <br /> PROCESS WHERE THE <br />APPLICAHT TO ASSURE <br /> <br />9ETBACKS: FRS ¢ <br /> R8'7'~" <br /> <br />FORM # MD 1 e-5¢ R~. 4/e0 0 F F lC E CO PY <br /> <br /> <br />