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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 />of a registered builder. <br />The work will be performed by a reglstered builder, <br />Other <br /> <br />this document, <br /> <br /> T <br />M,,L,L (;REEK ESYATES <br /> <br /> ~tTE NUM2E~: <br /> <br />...... ,r_,r ................ ,,,, ....................... L__.c-..:t ............... i .... _¢&~? ............... ................... J..~ )}L~ ,,.' .~ <br /> <br />TYPE: M~NUFACTURE]I) STRUCTURE <br />C,[.tltfkAC,~,,lh,, NIL, 92549 <br />CAt I I. .OH o <br />75b,;t: ,(~[ (kRl. f HILl. <br /> <br />PH(N ::b <br /> <br />PERMIT OR APPLICATION <br /> <br />'tOTAL ASSESSF'g FC::ES <br />PREVZOU~ RECEIPTS <br />'"f',~l I S RE'CEIPT <br /> <br />L~UANT :£ TY <br /> <br />ANE)UNT <br /> <br />BALANCE ,D{JE ~,¢~ E~ <br /> <br />F'hYFE; C.;R,itO1 A~nirl9 / ,,a~bzaM homes Z?,iVOICE ''4='~"~.~,,¢ .. <br />R[~!,:IVED ~.l'A; pm .................................................................. TYPE; ;:i,] ,]h':Ck ,~, 0 <br /> <br />· THIS IS NOT A PERMIT. THIS APPLICATION.~UST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE CQMPLETE~. IT IS T~E RESPONSIBILITY OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY INFORMATION MAS BEEN PROVIDE~. <br /> <br />FORM # MC tS.56 REV, 4/80 OF FICE COPY <br /> <br /> <br />