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MARION COUNT~ <br />SENATO <br />220 HI <br /> SALEM, <br /> <br /> PHONE:5[ <br /> 24HOURCO' <br /> <br /> BUILDING INSPECTION <br />R BLDG. NO, 22b <br />.SH STREET NE <br />OREGON 97301 <br /> <br />8-$147 8:00- 4:30 <br />)E-A-PHONE: 588-7904 <br /> <br />FORM # MC 15o56 R~, <br /> <br />THAT ALI. NECESSARY INFORNATION NAS PRSVIDE~). <br /> <br />sr~:Pr,[c~ ~YL]]Z,/ZLZZ.,¥ZZ"Z ~'rE2Z~:LZZZ~ .......... <br />C.T. rY JURISDICTIOI, I~ BY <br /> <br />TYPE: MANUFACTURED STRUCTURE PERHIT <br />1:ONTF<ACTOR. NO. 20?? <br /> MCFilNNVTI.,[,E FACTORY HONES <br />~Bo~ S Ht~Y 9~ W <br />HCHINNVILLE~ <br />PHOHE~ <br /> <br /> 1TEN <br />HANUFACTURED STRUCTURE PLACEHENT/CONN <br />HANUPACTURE)) SI'RUCTURE" STATE FEE <br />MAHUFAI;FURED STRUOTURL~; STATE SL]RCI..IARG <br /> <br />r~,YI,,E., Ca:,.~ol Awning <br />RECEIVF. D 8Y~ PM ................. <br /> <br />APPLICATION <br /> <br />~CTIOl,I <br /> <br /> 'l'OIAI,,. ASSESSE9 FEES <br />: PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br /> BALANCE <br /> <br /> ' i TYPE: IN <br /> <br />INVOICE <br />CHECK ~: <br /> <br />FDLLO~ZNO HUST BE CONPLETED. :IT OF THE APPLICANT TO ASSURE <br /> <br />OFFICE COPY <br /> <br />SETBACKS: FR 10 <br /> <br /> RS'"t 5 <br /> RR I0 <br /> <br />QUANTITY AHOUNT <br /> ¢182.00 <br /> $20.00 <br /> <br />¢211. :LB <br /> $0.00 <br /> <br /> The w¢rk will be performed by a registered builder. <br /> Other ,, , <br /> <br /> DA'I?.: 11104/?4 T:[HKr, 14:50:47 <br /> : L~f': ~ CATEGORY: <br /> ACE¢., HARRZE'F ~ ~ Rf~S]DENTJA <br />~ifOs X~O~B~,. : OCCUPANCY: <br /> : iR-3 <br /> <br /> ~u~,,v~L,.~. <br /> <br /> MAN Jt" ACl URI;D al RUG rUr~ <br /> <br /> ~ILL CREEK ESTATES <br /> 2842 BEAVER L,P NW .......................................................... <br /> SALEM,, OR 97S84 SITE NUNBER: 94-84277 <br /> FHOHE~'" ~78-33~Q VALUATION: <br /> <br /> :, <br /> <br /> <br />