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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 />¢ $1TtJ$ ADORESSi 8~)N~"~USTIS~ ~YPE: ;OCCUPANCY: <br /> F¢.-.;~ <br /> ;!;Jzl ASP :,r,l'I"' ,l~ ---- &~, -~-~1~,~'8~3:Y'. ~-'t,JSl~; i~OCUPANT LOAD: <br /> A J~ 9V'ELLE 0R <br /> <br /> ~ANLJFAC'fURE~ STRUCTURE <br /> ................................................ q~'~i~i~i'~i ............ <br /> <br /> HUBBAf~ OR 97e5.. <br /> F' HgNI;,. 981.-.41=~ VALUATION: <br /> J <br /> ]. <br /> <br /> TYPE: HANUFACTUREQ STRUCTURE PERMIT OR APPLICATION NO: 9868768 <br /> CONT¢~ACTOR~ HO,, <br /> CAMPBELL HOMES <br /> 7911 SQUIRREL HII...L R9 <br /> <br /> ~HSNE: 7~75.-8234 <br /> <br /> ~TEN QUANT I TY <br /> MANUFACTUREQ STRUCTURE PLACEHENT/CONNECTION <br /> ;4ANUFACTURE~ ¢~TRUCTURE STATE FEE <br /> <br />AMOUNT <br /> $I82.00 <br /> $20.00 <br /> $9. t0 <br /> <br />HANUFAC'f'URFD STRUCTURE STATE 3Ut :,:. <br /> ,: i::. SSED EEEs: $,011.10 <br /> ; $0.00 <br /> ' $ 21 ;t. :1, 0 <br /> <br />PA,.Y, EE: Capi'boI Awnir~g / <br />R~;CE!VED BY: PH ' <br /> <br />* THIS IS NOT A <br />FOLLOWING MUST BE <br />THAT ALL NECESSARY ZNFORHATI <br /> <br />$0.00 <br /> <br /> INVOICE 63;~?;~ <br /> CHECK ~: 8 <br />R~VIEW PROCESS WHERE THE <br />APPLZCANT TO ASSURE <br /> <br />SI-"'fBACK~: FR 10 <br /> LS'"'15 <br /> RS"-15 <br /> RR--15 <br /> <br />OFFICE COPY <br /> <br /> <br />