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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 />*( <br /> <br />of a registered builder, <br /> <br />this document, <br /> <br />STEVE <br /> <br /> I <br /> <br /> 48? BURBIN DR I ~ 28 <br />AIJMSVILLE OR 97325 <br /> <br />CONTRACT CITY; I UQB'. ~ OCCUPANT LOAD'· <br />~UMSVILLE /NO <br />· NO OF 8~O~00MS: <br /> <br /> MANUFACT. REI) STRUCTURE I 4 <br />~- ,-~-'~'6~E f'~O'~i~Fvi~"~ <br /> ~ ~ MILL CREEK ESTATE8 <br /> 1~8 DRIF'TW80~ LN SP 716 <br /> or( 7770Z SITE HUMBER: ~4-828~1 <br /> F NONE~ ~-8888 VALUATION: <br /> <br /> :28: '~'~C ', , "124 j ~38S : m TOWNSHIP: ~2W RAN6E'. <br /> : 55 / 102 / 561m8. / / NO ] flO <br /> <br />TYPE: HANUFACTURED STRUCTURE PERMIT OR APPLICATION No: <br />COflTRACTSR~ NO. 82624 I <br />: JOHHSON MOBILE HOME i <br />,11~73 MILl_ CREEK AB. I <br />AIJMSVILLE~ 97~25 J <br />PHONE: 769"77~8 <br /> <br />ITEM <br />MANUFACTUREQ STRUCTURE PLACEMENT/[ <br />MANUFACTURED STRUCTURE SSATE FEE <br />MAHUFACTURED STRUCTURE S~ATE <br /> <br />PAYEE~ <br />RECEIVED BY: DM <br /> <br /> · ~ THIS IS ~ VALID <br /> REIHSPECTIOH. ALL <br /> CONNECTION~ ARE <br /> AHY OF TIlE 1TENS ARE <br /> PERMIT IS VALID FOR <br /> AN EXTENSISN. PRIOR TO <br /> MEET ALL REOOIRENEMTS OF <br />PI,,.~NN[NG ~CTZON= <br /> <br />56687 <br /> <br />;TION <br /> <br />'i, QUANTITY AM0UNT <br />' $i82,08 <br /> $20.00 <br />:, $9.i8 <br /> <br /> $211.10 <br /> $8.80 <br /> <br /> $0.88 <br /> <br />INVOICE 0 <br />CHECK ~: 8 <br /> <br /> AND ONE <br />NI~HANICAL. AND ELECTRICAL <br /> FIRST INSPECTION. IF <br /> aILL BE REOUIRED. <br /> ~RITTEN REGUEST FOR <br /> CONSTRUCTION FALLS TO <br /> AND ZONING ORDINANCES, <br /> <br /> :: SEI'BACKS~ FR 18 <br /> 1.9-15 <br /> RS-15 <br /> RR""I~ <br /> <br />OFFICE COPY <br /> <br /> <br />