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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HiGH STREET NE <br /> SALSM, 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 /> <br />,' W~ ...... Io~ ,'~,~hL b,~ ,, .................. ~ ............. ~ 5.4:~:,:6~.~ ~ ~ ~EST. D~2 ,'T ~L <br /> <br /> , NO OF BEDROOMS: <br /> <br /> 8~HE <br /> SITE NUMBER: <br /> <br /> .......... ........................................ ......... <br />~WlDTH: [~E~H: ~ A~X: [ j ~N~ ~ I~[G. LOT: <br /> J r,;:~ j,...A.C :.J.~ ,, <br /> <br />TYPE: MANUFACTURED STRUCTURE PERMIT OR APPLICATION NO: <br />C01qTI;:ACTOR, N0,, <br />WATTSv [tRIAN H <br /> <br /> ITEH <br />~ANIJFACFLJRED STRUCTURE F'LA[:ENENT/[ <br />HAi'JUF'ACTURE)) STI~UC;TURi~ STATE F'F2E <br /> <br />MAN(JFACTLRED S'fFd. IC'FURE ZONING SUN[¢' <br /> <br />9~57S47 <br /> <br /> QUANTI "f'Y <br />ONNE6'FiON !t;1.82,, <br /> $2~D ,, ~:~ <br />Ah .E <br /> <br /> ~O'l'AL ASSESSED FEES ~22a. $8 <br /> : PREVI0:US RECEZPT~ <br /> THIS :RECEIPT ¢.~..a,, :).~ <br /> <br />~.(,,~,IVID ~Y, I~l~ I TYF". C~ - . . <br /> ...... . ........................ ~._ _ = = .~, _~.~. ;:_....,,,,~.... .........., CHECK ~'. 754 8 ,L <br />~ THZS IS NOT A PERMIT. THIS::APPE;ZC~[DN HUnT. GO THROUGH ~ REVIEW PROCESS WHERE THE <br />FOLLOWiHC MUST BE COMPLETED;: ::IT ~ THE RESFONSI~ILITY'OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY INFORmATiON' ~A~BEEN PROVIDED, <br /> <br />FORM # MC 15.56 REY../go OFFICE COPY <br /> <br /> <br />