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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 22,5 <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 />I Bm a registered builder OR ( ) the authorized representative <br />Other <br /> <br />M[M~{Ei~E'~5%~711~73 ............................................ HILl- CREEK RD <br /> ALJMSVILLE. OR 97~25 <br /> PHONE: 769-7744 <br /> <br />HILL CREEK ESTATES <br /> <br /> l S <br /> ITE HUHBER-~ 94-B19~,9 <br /> VALUATION." <br /> <br /> TOWNSHIP; ............ <br />L1~~5~ ............. .~ .~.. ~E~? ................ ['~'8~ 24 .... __ ~.~ ............... <br /> <br />TYPE= HAHUFACTURED STRUCTURE pERI'lIT OR APPLICATIOH <br />CONTRACTOR~ NO. 42256 I <br />9el HcCor~zck I <br />518 Valleywood Dr SE i <br />Sale~ 97~0~-~90~ <br />PNONE~ 3&~-171Z <br /> <br /> ITEH ,~, i <br />MANUFACTURED STRUCTURE PE:ACEHENT~ <br />MANUFACTURED STRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE STATE <br /> <br />PAYEE: Del McCormick <br />RECEIVED BY: PM <br /> <br />* THIS IS NOT A PERHIT. <br />FOLLOWING HUST <br />THAT ALL HECESS~RY <br /> <br />D/FEES : <br /> <br /> QUANTZl'Y AMOUNT <br /> $182~00 <br /> $2~,,00 <br /> $9.10 <br /> <br /> $211.1~ <br /> $~,,00 <br /> $211.10 <br /> <br /> $0.00 <br /> <br />,: INVOICE 57506 <br />IN CHECK ~: ~ <br /> ~EVIEW PROCESS WHERE THE <br /> APPLiCaNT Tg RSSURE <br /> <br />PL. ANHING ACTION: <br />PLAN REVIEW: DY <br />ZONING~ BY <br />SEPTIC: BY ...... I <br />CITY JURISDICTION:BY .................. ....~ ' <br />REMARKS: HS, CARPORT ..... ,., <br /> <br />SETBACKS: FR 10 <br /> LS'-15 <br /> RS--15 <br /> RR"-15 <br /> SP': ......... <br /> <br />FORM # MC 16.58 REV, 4?90 OFFICE COPY <br /> <br /> <br />