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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREG©N 97301 <br /> <br /> PHONE; 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />) I am e registered builder OR ( ) the authorized representative SIGNATURE OF APPLrCANT: <br /> of a registered builder. <br /> <br /> Other , , <br /> D~f'~?~ 11/97/9~ I'ZHE~ J.¢~21=84 <br /> <br /> ~28 ASPEN DR -- <br /> <br /> i ~%LL, CREEK E~T~'f'ES <br /> ~U~SV~I,,,I..;~& OR ~7325,i .................................................... ~ITE NUMBER: 94-84274 <br /> <br />TYPE: Mi%NUFACTURED STRUCTURE PERMIT OR APPLICATION NO-~ <br />r OlifRACi'OR~ NO~ <br /> <br />~18 Va;l, ic'ywood Dr SE <br /> <br />HANUF'ACTURED STRUCTURE PLaCEmENT/CONNECTION <br />HAI,IUFACTURED STRUCTURE STA'r~: FEE <br />~ANUFAC1URI:i;D STRUCTURE STA~E ~UROHARGE <br /> <br /> TOTAl. ASSESSED FEES <br /> PREV~OIJS RE..LZF TS <br /> <br />59447 <br /> <br />QUANTITY AiIOI,~NT <br /> $ 1,9;..-, ,, 0¢_ <br /> $20,88 <br /> ~.!~ S, ,, i0 <br /> <br /> AMY OF THE ITEMS ARE ZHCOMPLETE, AN ~DDITIOHAL INS~CTIOH :FEE WILL BE REGUiRED. <br /> PERmiT IS V~[.ID FOR SIX MONTHS RENE~ED FOR MONTHS UPON ~RITTEM REDUEST FOR <br /> <br />F'LAFH'Ii NG At,3T I OH,~ ' <br /> SETBACKS: FR 18 <br /> LS'"15 <br /> RSZ:5 <br /> RR 18 <br /> ' <br /> <br /> DONALD E. WOODLEY, MARION COUNTY BUtI_DII4~, OFFICIAl. / BY <br /> <br />CORM # MC 15,56 REV, 4/90 OFFICE COPY <br /> <br /> <br />