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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 />The work will be pedormed by a registered builder. <br />Other <br /> <br /> AUHSV]LLK OR 97;25 AHHSV~:LLE ' <br /> MAhMF~C f'IJR~;D STF~UCTtJF(E : <br /> <br /> VALUATION:: <br /> <br /> Zo ~.-~4 ........................... ~---8~ 2W 5 <br /> <br />.............. ~ ~ NO NO <br /> <br /> TYPE: ~A~UFACTU~E9 STRUCTURE PERMIT OR APPL~CATIOH NO: <br /> CONTRACTBR,, NO. 9254? <br /> E AEP(IEI..L HOHFS <br /> 7(7tl S(~I.I:t:RRf:L, HIL,t. R~ <br /> <br /> PHONE[: 37~'--8234 <br /> <br /> MANUFACTURED STRUCTURE PLACEHENT/CONNECT~ON <br /> <br /> ~IANUF'ACTURE~ STRUC'FU¢~E ,~A~, SURCHARGE <br /> <br /> TO'F~L ASSESSED FEES <br /> PREVIOUS RE.,¢E,[,- To $~., <br /> THIS RELE.,PT $2tl, :D.~ <br /> <br /> L,(,.EIV...D BY. tm ~YF%:: IN CHECK ~ <br /> *, THIS ~S NOT A PERMIT. THIS APPEiCATION MUST GO THROUGH'A REVIEW PROCESS WHERE THE <br /> <br />FORM # MC 15-56 REV. 4/90 OFFICE COPY <br /> <br /> <br />