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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OFd=GON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />this document. <br /> <br />, .,,,,.t.. 3~:.t. LL~UI:; ~R 77 ,< CONTRACT CITY; ; UGg: ;OCCUPANT LOAD: <br />; AL MOV'[L LE: OR <br /> <br /> cf,r- <br /> <br /> j__MILL C~EEK ES'rATES <br /> 150 S 7TH ' <br /> ~UHSVIL[,.E~ OR 97~_.¢ SITE MUMBER: <br /> PHOHE: 749-126~ V~I._U~']: Oil ~ <br /> <br />"',W DTH; DEPTH; ]AREA'. j UNtTS; [ IRREG. LOT'. I CORNER; <br /> <br />PERMIT OR APPLiCATIOH NO: <br /> <br /> MANUFACTURED STI{UCTURE <br /> <br />:H~NUF~OTURED S~RUCTURE PL~CE~ENT/CONNECTZON <br />14ANUF'ACTURE~ STRUCTURE STATE FEE <br />HANI]FACTURED STRUCTURE STATE SURCHARGE <br /> <br /> : :PREVZOUD RECEI~S: <br /> , : THIS RE6EZPT ' <br /> <br /> :: <br /> <br />~UANT~'I'Y AMOUNT <br /> <br />$211.10 <br /> $0,00 <br />$21J,,,:LO <br /> <br />PAYEE: (%;pito]. Awrd. ng INVOICE 59692 <br />REC['_'IVED BY: P~ ' ' TYPE:'IN CHECK ~: <br />FOLLOWZH~ MUST BE COMPLETED, ~, RESPONSIBILITY OF THE BPPLICANT TO <br />THAT ALL HE6EDDARY INFOrmaTION HA~? BEEN <br /> <br /> ,..- <br />ZONZNG: BY ....................... ~hTE?",T7'~ 77'~ .... LS-',. <br /> ........................................ <br />SE:PT]:C~ BY DArE ......... t ............. <br /> <br />CITY JURIS:O:[CT:[ON: BY ................... t)~l'Ej ............... S¢]]] ........... <br />REHARKS~ MS~ CARPORI' <br /> <br />OFFICE COPY <br /> <br /> <br />