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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 />I a¢~ a registered buiider OR the authorized representative <br />of a registered builder, <br />The work will be gedormed by a registered builder, <br />Other. <br /> <br />this document, <br /> <br /> HATHEW FLETC'HE~R/THERESA POT'fEE - ~ESII)ENT~AL <br /> <br /> 2~,4 BELLEVUE ~R =~ CONTRACT.CITY: Fuee; OCCUPANT LOAD; <br /> ~UHSVZLLE 8R ~7325 ~UHSV[LLE ~0 <br />........................................................................................................... L <br /> <br /> HANUFACTURE~ STRUCTURE <br /> <br /> 2855 S. PACIFIC HWY <br /> WOODBUEN OR ~7871 ~ SITE HUHBER: <br /> PHONE: 747-3~41 ~ VALUATION: <br /> <br />TYPE= NAHUFACTURED STRUCTURE <br />CONTRACTOR, NO. 14722 <br /> CObH Woodburn Inc <br />~85.~ Pacific Hwy <br /> ooa~urn~ 97071-0008 <br />PHONE: 981-~141 <br /> <br />PERHZT OR APPLZCATION NO: 9eSSSBZ <br /> <br />ITEH <br />MANUFAC'TURE~ STRUCTURE PLACEMENT/CON <br />HANtJFACTURED STRUCTURE STATE FEE <br />~ANUFACTURED STRUCTURE ST~E <br /> <br />PAYEE;: Capitol Awning / <br />RECEIVEB BY: df <br /> <br />* THIS IS HOT A PERNZT. <br />FOLLO~ZN§ HUST BE <br />THAT ALL NECESSARY <br /> <br /> QUANTITY AMOUNT <br /> $t82,00 <br /> $20.00 <br /> $9.10 <br /> <br /> $211.10 <br /> $8.00 <br /> $211,18 <br /> <br /> $0.00 <br /> <br /> INVOICE 61451 <br /> CHECK ¢: 0 <br /> <br />REVIE~ PROCESS NHERE THE <br />APPLICAHT TO ASSURE <br /> <br />PLANNING ACTION= //~.~.~.-" <br /> PLAN REVIEN: <br /> ZONING: BY <br /> <br /> RR-15 <br /> CITY JURISQICTION: BY <br /> REMARKS: MS~ OARPORT ...... ,~'?~-%~P~ .......... <br /> <br /> OFFICE COPY <br />FORM # MC 15.~,fl RBV. ~ <br /> <br /> <br />