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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 />Other <br /> <br />this document· <br /> <br /> CONSTRUCTION Type: OCCUPANCY; <br /> <br /> 214 BELLEVUE DR .._ <br /> ~UHSVILLE OR 97325 AI,JNSV~LLE NO <br /> <br />..... HA NUF~CT UEE D..-~T.~UC T,URE <br /> <br /> 11373 MILL CREEK R~ <br /> AUHSVILLE DR ?7325 SITE NUHBER= ~4-e3772 <br /> PHONE: 769-774~ VALUATION: <br /> <br />TYPE= HANUFACTUREJ) STRUCTURE PERMIT OR APPLICATION <br />CONTRACTOR, <br /> Capitol Awning / Santiam Homes <br />518 Valleywood Dr SE <br />Salem~ <br />PHONE: 363-171.1 <br /> <br /> ITEM <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTURED STRUCTURE STATE FEE <br />flANUFACTURE~ STRUCTURE STATE SURCMARGE <br /> TOTAL ASSESSEDFEES <br /> · PREVIOUS RECEIPT~ <br /> THISRECEIPT <br /> <br />98§8468 <br /> <br />OUANTITY AMOUNT <br /> $182.80 <br /> $20.00 <br /> $9.10 <br /> <br />$211.10 <br />$211.1~ <br /> $0.00 <br /> <br />PAYEE: :::: : INVOICE <br />RECEIVED BY~ DF' :TYPE: CHECK ~: 0 <br /> <br />$ THIS IS NOT A PERMIT. THIS APPLICATIOHMUSTF, O:THROU~HA REVIEW PROCESS WHERE THE <br />FOLLOWING MUST DE COflPLETED. :IT IS'THERESPOHSI~ILITY OF THE APPLICANT TO ASSURE <br />THAT ~LL NECESSARY INFORM~TIONH~S ~EH PROVIDED. <br /> <br /> . : <br /> <br />~I_AH REVIEW~ <br />ZONING: BY .ZZZ]ZZ]- DATE- -''' ..... ~- LS-15 <br /> <br /> AR-15 <br />C~TY O~RISDICTION: <br />REMARKS: MS,CARPORT <br /> <br />OFFICE COPY <br /> <br /> <br />