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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-B147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder, <br /> <br />Other <br /> <br /> TAX LOT; ........... <br /> 6RONEMYER? KAREN [RE,,'SZDENT IAL <br /> <br /> ~JHSV'[[ .......... t F' OR ?7325 ~UHSVILLE ~ NO ~"OCCUPANT LOAD; <br /> <br /> HILL CREEK ESTATES <br /> 1:1.:~73 H:[I..,I., CREEK R9 SE <br /> <br />~ r,:'HONE: :,'~78-e768 VALUA')'ION~ <br /> <br />TYPE: MANUFACTURE]) STRUCTURE <br /> <br />CAHF ~EL.L [-IOHE5 <br />7~:U. SQU)'RRI::L H~LL, R~ <br /> <br />PHONE: J75-8234 <br /> <br />HANUFAC'FURED STRUCTURE PL~CE~ENT/CONHECTION <br />~ANUFACTLIRE~ STRUCTURE ST:ATE FEE <br />NANIJFACiJR[~ STRUCTURE STATE SURCI~ARGE <br /> <br />PERHIT OR APPLICATION NO: ?857187 <br /> <br />QUANTITY AMOUNT <br /> $i82.00 <br /> $20,,0~ <br /> $9.10 <br /> <br /> : TOTAL ASSESSED FEES $21t. 10 <br /> ' :F'RE¥iOUS RECEIR'TS $0.00 <br /> <br /> PAYEE= Capitol AunJ, ng : ; INVO:[CE 59697 <br /> <br /> FOLLONIN6 MUST BE COHPLE~Eg:~::;, IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br /> THaT ~LL NECESS~Y INFOE~ItON,'~SJ~EEN PE~IDE~. <br /> <br />I ANdlk{~ ACTION <br /> <br />OFFICE COPY <br /> <br /> <br />