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SENATOR BLDG. NO. 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREG.?N 97301 <br /> <br /> PHONE: 888-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />l am ~ registered builder OR ( ) the authorized representative <br /> <br />08/08/91 liNE: 11:13:53 <br /> <br />CHURCH OF GOO OF' PROPHECY <br /> <br /> 10637 S'[AY'[ON RD <br />,qL}'CC'3V l LLE <br /> <br />IVIO~J i LE HOME <br /> <br />916 N 8iRCH C/O DENNIS OLSON <br />;SlAY'TON OR_ 97383 <br />PHONE: fr59-5098 <br /> <br />)YP~: ~ANLIF'AC'TURED S'TRUCf'URE <br /> <br />CONFRACfOR, NO_ <br />CHURCH OF GOD OF PROPHECY <br />916 N B~ C/O DENNIS OL3©N <br />SFAYFON, OR, ~?~3 <br />PHONE: 769-5088 <br /> <br /> 2, <br /> <br />PERMIT' OR APPLICATION NO: <br /> <br /> ~. T E~ <br />~U FAC I U REO S I NUC ~ J RE ,~ON lNG ~ RCHARGE <br />MANUPA(~;¥'UF~E0 ,%~RUCEU~E STORAGE PER~IT <br /> <br /> SiTE NUMBER; 2302 <br /> VALUA'I iON: <br /> , RANGE: i ZONE: MAR: <br />95 1N EPU 60 <br /> IRREG. LOT: : OO~NER: <br />AC NO : NO <br /> <br />34219 <br /> <br />TOTAL ~SED F~ES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANI'[I'Y <br /> <br />AMOUN ~ <br /> $15. O0 <br /> $25.00 <br /> <br />~0,00 <br />$o.o0 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEiP') <br />RECeiVED BY: OM2 ']'YPB: CHECK ~: S E <br /> <br /> ~<* THIS IS A VALID PER/~IT ** THi~ P.,ER~IiT FEE COVERS ONE INSPECTION AND ONE <br /> REiNSP6CTION, ALL Ei[.OCKIN6. STAIR '~IALI-&Ti.,.,~, PLUI~IBtN8:: r;1ECHP¢4ICAL, AND ELECTRICAL <br /> CONNECTiON~ ARE REI~UIRED TO BE CO61PLET, E~.UP~r REQUEST FOR THE Fi~T INSPECTION. IF ANY <br /> OF THE 1TElls ARE INCOCqPLETE, AN ADDiTi~ON.,AEr:~NSPECTION <br />VALID FOR SiX t, IONTHS ONLY. EEN~EO~R ~6'tflGNTHs UI;~N i~/RITTEN REQXJE~TFOR AN EXTENSION, <br />PRIOR TO THE EXPIRATION D~TE..OE qrHE :.PERf4iT. 'IP::CONSTRUCTION FAIL...~ TO MEET ALL <br />t~EQUIRE~IENT~ OF STATE LA~I~ ANB:i~IARION COUNTY BUILDING AND ZONING ORDINANCES,. <br /> PER$4! ¥ ~HALL BECOME NULL AND VOiO. <br /> <br /> THIS DOES NOT INCLUDB UTZLITY HOOKUBS <br /> <br />SETBACK'S: PR ~0 L~ 10 ~6~ 10 RR 30 ~P <br /> FOBE: OG~2ED.~PEI~IANEN'f PL~CE~bJN') <br /> WILL RE~IRE REVIEW BY PE~NI:NG :: ,.,,, .' ..................... ~'' <br />PLANNING ACi J(')N: <br />E)ONALD E. WOODLEY, ~ARION COUNTY BUiLDiNG OF'P'iCiAL / 8Y <br /> <br />FORM # MC i~-~6 REV. 4/90 OFFICE COPY <br /> <br /> <br />