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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 />of ~ registered builder, <br /> <br />Other ,, <br /> <br />...... LAMPLIGN~CER.. 14ONES ........... <br />! SITUS ADDRESS; ' ) CONGTRUOTION TY~E'. <br /> ,127 CARMEL DR -- <br /> AUMSVILLE OR ~7325 'AUNSVILI E , <br /> USE OF BUILDING'. T~O O~ B~DROOM8 <br /> <br /> SITE NUMBER: 94-a25SS <br /> PHONE: 8~-547-8~15 ~ VALUATION: <br /> <br />TYPE: MANUFACTUP. E:D STRUCTURE PERHIT OR Ai:'PLICATION <br />CONTRACTOR. NO. 56907 <br /> LAMPLIGHTER HOMES OREGON <br />PO BOX 300~ <br />LAOEY, ?8503 <br />PHONE: 491-11~8 <br /> <br /> ITEM <br />MANUFACTURED STRUCTUREPLACEMENT/CONHEETION <br />MANUPACTURE~ STROCTORE'STATE FEE <br />MANUFACTURED 9TRUOTURESTATE SURCHARGE <br /> <br />9556183 <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $182.00 <br /> $2o.oe <br /> <br /> TOTAL ASSESSED FEES $211.10 <br /> PREVIOUS RECEIPTS $0,, 00 <br /> <br /> BALANCE .DUE ' $0.00 <br />PAYEE: Ca itol A~3i~g INVOICE 5867~ <br />kECEIVI;D ~ ' ~Y.' PM IN CHECK ~: 8 <br />=~ THIS IS HOT A PERMIT. THIS, AP~Z~TZDN ~ :'G8 ~ROUGH ,A ~VIEN PR~ESS ~HERE THE <br />FOCLO~ZNG HUST BE CGHPLETED., :IT IS T~'" :RESPO~8TCTTY OFTHE APPL~CAHT TO ASSURE <br />THAT ~LL HECES~RY [HFO~T~ON HAS' ~EN :PROV~:~., <br /> <br />PL, AN RE:VIEW: BY~_~._. ATE2~ ~' ? <br />.Z.,,ONING: BY /~/- ........ ]- ATE -'/ <br />SEP'¥'IC: BY .... ,,~_ZZZ .... DA'rEZZ ............ <br />CITY JURISDICTION: BY DATE~ .... ...~ , <br />REMARKS: MS~ CARPORT ........... <br /> <br />SETBACKS: 'FR 10 <br /> LS-15 <br /> RS-15 <br /> RR-10 <br /> <br />OFFICE COPY <br /> <br /> <br />