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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: 588-514'7 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />~DDR~SS: Tg~: j OCCUPANCY; <br /> <br /> 7216 SCHOI,.,L¢ FERRY Ri) ¢2 ,: <br /> <br /> I::'HOIqE; 62F)--4~86 : ~ <br /> ~ VALUATION:: <br /> <br />PER~IT OR APPLICATION NO: <br /> <br />I~YPE: HANUFACTURE~, STRUCTURE <br />(;ONTI:-:ACTOR,~ NO. <br /> Ca~i_'bol AwnJm. g / c, , , <br />5:1. F¢ VzCt, l,oywooo' Dr SF <br />$,,:t ',1, em ~ 97'306 : <br /> <br /> I'¥EH <br />MANUF'A[;TURE)') STRUCTURE' PLACEi~FNT/6ONNECT]~OIq <br />HANUF'ACTUFS:i1) STRUCTUI~E STATE FEE ~ <br />MANLJFACTURE]) ,cCf'I:;zUCTUF~E STATE; .LJRCHARGE <br /> <br />QUANT:[TY <br /> <br />SFTBACKS: F'R <br /> L.S <br /> RS'"i5 <br /> RR'"' 10 <br /> sK'.'. ........... <br /> <br />AMOUNT <br /> $182.08 <br /> <br /> $9.10 <br /> <br /> I T ~r'At,, AS,':JE.9$E]~ FI:ES <br /> ' O' ' ....... ~ $211.10 <br /> ] PRE,.V, I OU,S RECEIPTS <br /> : : T~',S $211,,1~ <br /> : <br /> <br />RECEZVE~) ~¢Y: F~ TY:PE:::IN CHECK ~: <br />$ THis 18 HOT A PERHIT. ~Hl~:] APPlicaTION BUST 60 THROUGH A REVIEW PROCESS BHERE THE <br />FOLLOWIN6 MUST BE COHPLETED. IT iS: THE:: RESPONS{BILITY OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY IHFORHATION HA8 BEEN PROVI~EB. :: <br /> <br />PLAN REVIEW: BY -~ ~ATE'~'~;~ <br />E;EPT'ZC:; BY"-"~' .......................... ZZ DATE .......... ~ <br /> <br /> OFFICE COPY <br />FORM # M~ 15-56 REV. 4/90 <br /> <br /> <br />