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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 reglstererf builder OR the au hor zed rep esen ave <br />of ~ registered builder, <br />The work will be performed by a registered builder, <br />Other <br /> <br />SIGNATUR~ OF APPLICANT'. ................ <br /> OATE; ........... <br /> <br />'~i¥o§-~-~-a'~§~''" ................... '" '~ ~'~_.,1..~.._._~_._~" ' '" ' ....................................... 1AN HONES <br /> <br />  ~Y~c/'~Tf~ ...... ['~ .............. : OCCU~AWT LOAD; ' <br /> ........... ........................................................ <br /> <br /> 11373 HILL CREEK RD <br />LOT: PHONF.~Lg~-7744 /SECTION <br /> <br /> 55 9~ 5280. <br /> <br />OR 97325 AUHSVILLE NO INo OF eE0,00~S <br /> <br /> TOWNSHIP; ~-. ~ION: zo.~: ) MAP <br /> NO NO <br /> <br />TYPE: HAHUFACTURED STRUCTURE <br />CONTRACTOR~ NO. 78940 <br /> Capitol Awning <br />~18 Valleywood Dr' SE <br />PHONE: 363~17~! <br /> <br />Il'EH <br />NANUFACTUREB STRUCTURE <br />HANUFAC'rUREB s'rRUCTURE <br />NANUFACTURE~ 9TRUCTURE <br /> <br />PERHIT DR APPLICATIOH HO: ?~55211 <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> ~182,,00 <br /> $20.00 <br /> <br />PAYEE: SANI'IAH HOMES <br />RECEIVED BY: pm <br /> <br />· THZS IS NOT A PERHIT. <br />FOLLO~IN6N~$T BE <br />THAT ALL HECESSARY <br /> <br />PLANNING ACTION: <br /> PLAN REVIEW: BY <br /> ZONING: BY <br /> SEPTIC: <br /> <br />C.[IY JUR.[SBICFION. B <br />,,~.NARK,~,, NS, CARPORT <br /> <br /> 00 <br /> $211.10 <br /> <br /> $0.00 <br /> <br />· INVOICE 57&7~ <br />i:I~ CHECK ~: 0 <br /> <br /> PROCESS WHERE THE <br /> APPLICANT TO ASSURE <br /> <br />SETBACKS: FR 10 <br /> LS'-15 <br /> <br /> RR ~0 <br /> sPi~ ....... <br /> <br />,o~ # ac ~s.s~.~v. ~o OF FICE COPY <br /> <br /> <br />