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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: 5@8-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />The work will be performed by a registered builder, <br /> <br /> 121~12 FRY RD NE : <br />PHONE; 678=587~ ~ ~ ~ALU~TION: -~"~'" <br /> <br />CONTRACTOR, NO. <br />HOWARD~ JOHN & JEAN <br />PO BOX 412 <br />AURORA~ OR 9?002 <br />PFIONE: &78-~870 <br /> <br /> ITEM QUANTITY AMOUNT <br /> MANUFACTURED STRUCTURE :ZONIHG SURCHARGE <br /> MANUFACTURED STRUCTURE STORACE PERMIT $25.00 <br /> TOTAl. ASSESSED FEES <br /> P~EVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br /> BALANCE DUE <br /> EB HOWARD, 'AN <br /> RECEIFT 6253~ <br /> <br /> * THIS IS NOT A PERMIT, :THIS:App~:ICA~ON: HUS~'~":~H A REVIEW PROCESS WHERE THE <br /> FOLLOWING HUST ~E COHPLETE~:'" :IT IS~:~HE:::.{:RESpO~8~iTY,OF THE APPLICANT TO ASSURE <br /> THAT ALL NECESSARY INFORHA~ON HAS,~EEN::PROVT~ED; :: <br /> <br />PLANIqIhlG ACT~ON~ ' <br /> PLAN R~VIEW: BY. ~ : ; SETBACKS: <br /> SEPTIC: BY-~ .......... ~-'~ Q~TE'_ ................ <br /> CITY JUR~SDICTIOM: ~Y DATE <br /> REMARKS: ~ MONTH 9TORDSE-P~REIT ......................... <br /> <br />OFFICE COPY <br /> <br /> <br />