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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 025 <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 a registered builder, <br />The work will be performed by ~ registered builder. <br />Other <br />[ have read and agree to the terms stated on the reverse side of <br />this document, <br /> <br />EAST, DONALD RESYDENTtAL <br /> R- <br /> <br />55 ~3 5~15. NO NO <br /> <br />TYPE: HAHUFACTURED STRUCTURE PERHIT OR APPLICATION NO: <br />CON'fRACTOR, ~O, ?8940 <br />Capitol Awnin~ i . <br />518Valieywood~Dr SE <br />Salem~ 97306 /,~¢ : ::::' <br />PHONE: ~63-1711 :;:!: <br /> <br />HANUFACTURE~ STRUCTURE <br />M~NUFACI'URE~ STRUCTURE , <br />MANWFACTUREDSTRUCTURE <br /> <br />PAYEE: Capi~o! Awning <br />RECEIVED BY. pm , <br /> <br />~ THiS IS NOT A PERHIT. <br />FOLLOWING flUST BE <br />TNAT ALL ~ECESSARY <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $182.00 <br /> $20.00 <br /> $9.10 <br /> <br />$211.10 <br /> $0.00 <br />$211.10 <br /> <br />$0.00 <br /> <br />INVOICE 57681 <br />CHECK ¢: 0 <br /> <br />REVIEW PROCESS WHERE THE <br />APPLICANT TO ASSURE <br /> <br />PLANNING ACTION: <br />PLAN REVIEW: BY DATE <br />ZONINC: <br />SEPTIC: DATE <br /> <br /> CIIY JURJ.:~DICI.iON~ BY <br /> REMARKS. M.~, CARPORT ........... <br /> <br />SETBACKS: FR 1~ <br /> I.S-":L~ <br /> RS"'15 <br /> <br />~ORM # MC .~e.ee R~V, 4~o OF FICE COPY <br /> <br /> <br />