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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 /> PAUL GARCIA ~ <br /> AI.IN.,VIt. LE OR 97;25 ~ AUMSVILLE NO. <br /> <br /> 1137~ HILL CREEK RO <br /> AUMSVILLE~ OR ~7~5 ~ITE NU~BER~ ~4-B44~1 <br /> PHONE: ~8-8147 VALUATION: <br /> <br /> 55 ~ 78 4298. SF ~JO ~0 <br /> <br />TYPE: HANUFACTURE~ STRUCTURE PERHIT OR APPLICATION NO~ <br />60NTR~GTOR~ NO. <br />Capit'ol Aw~l]g / ~antiaM Ho~es <br />518 Vallexwood Dr SE <br />SaleM,~ 97386 <br />PHONE: 36~-1711 <br /> <br />ITEM QUANTITY AMOUNT <br />MANUFACTURED STRUCTURE PLACEMENT/CONWEOTION $182.~8 <br />MANUFACTURED STRUCTURE STATE FEE <br />HANUFACTUREB STRUCTURE STATE SURCHARGE: <br /> TOTA. ;~SSESSE~ FEES ¢211. <br /> <br /> CHECK :~: <br />* fH~S IS NOT A PERHIT. THIS APPL:iCATIOH HUS~ 6O:~ROUGH A REVIEW PROCESS WHERE THE <br />FDLLQ~ZN6 HUST BE COHPLETE~; ~f '~S RESP~SZ~E~Ty OF THE APPLICANT <br />THaT ~LL NECESSARY ZHFORH~ON H~S ~EEH;;PROV~E~. , <br /> <br />CITY JUR~SDIC'f~ON: BY ............ DATE ........... <br />REMARKg~ <br /> <br />SETBACKS: FR 10 <br /> lS""lS <br /> RS""IS <br /> RR"IS <br /> sPZ ...... <br /> <br /> OFFICE COPY <br />FORM # MO 15-58 REV, 4/90 <br /> <br /> <br />