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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />'~'~0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODB-A~PHONE: 588-7904 <br /> <br />f nave resd and agree to the torres stated on the reverse side of <br />this document. <br /> <br />SITUS ADDRESS: <br /> <br /> 3~4 ASPEN ~ -. <br /> AIJ~SVILL. E OR <br /> <br /> ]137~ HILL CREEK R~ <br /> ~IJHSVIL. I_E,, OR 97325 SITE NUHBER: ~4-e2a27 <br /> FHONE: 76~-7744 <br /> <br /> I <br /> <br />TYPE~ HANUFACTURED STRUCTURE <br />CONTRACTOR~ NS. 98?40 <br /> Capitol Awning <br />518 Valleywood Dr SE <br />Sale~, 97~06 <br />PHONE: <br /> <br />PERHIT OR APPLICATION NU: 9¢56317 <br /> <br />HANUF'ACTURE9 STRUCTURE PLACEmENT~CONNECTION <br />MAHUFACTURED STRUCTURE STATE F'EE <br />MANUFACTUREP STRUCTURE STATE SURCHARGE <br /> <br />TOTAL ASSESSE~ FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIP'r <br /> <br />BALANCE DUE <br /> <br />QUANTITY AMOUNT <br /> $182.00 <br /> ~20~00 <br /> <br /> $8.00 <br />$211.18 <br /> <br />PAYEE: Capitol Awning INVOICE ~8821 <br />RECEIYED BY: PM .................................... TYPE: IN CHECK ~: 0 <br /> <br />* TH~S IS HOT A PERHIT. THIS APPLICAT~ONHUST GO THROUGHA ~EVIEW PROCESS WHERE THE <br />FOLLOW,HO HUST BE COHPLETEO. IT ~S THE RESPOHSIBILITY OF' THE APPLICAflT TO ASSURE <br />THAT ~LL NECESSARY INFORHATIONHAS 8EEH PROVIDED. <br /> <br />PLANNING ACTION: /~.,,' '~" PLAN <br /> ON N6. BY -77 ........... <br /> <br /> CITY JURISQ~CTION: BY ........... BATE <br /> ,,EMAkKS. M,~t CARPJRI <br /> <br />SETBACKS: <br /> <br />FR 10 <br /> <br />SP~ ......... <br /> <br />OFFICE COPY <br /> <br /> <br />