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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 />I am performing work on a property I own or occupy <br />Jam aregistered builder OR ~ea horzod ep esen a re <br />of 8 registered builder, <br /> <br /> GRb-EN. JOE <br /> <br />5ITU5 ADDRESS <br /> <br /> 11739 WARBLER LAN[:: Nb <br />AU k~O RA OR 9t002 <br /> <br />Ivto81LP HOfVlE <br /> <br /> TAX LOT <br /> <br /> OONS~ RUOflON TYPE <br /> <br /> CONTRACT CITY <br /> <br />IVlAR I ON COUN )' Y <br /> <br />UGB <br /> <br /> NO <br /> <br /> CATEGORY <br /> RESIDENT <br />' OCCUPANCY <br /> <br /> R-3 <br /> OCCUPANT LOAD <br /> <br />CENtURY MBAOO145 <br /> <br /> PHON~: Si'TE NUffiBgR= 12434 <br /> VALUATION; <br /> <br />WIOTII DEPTH AREA UNITS IRRE~ LOT CORN~-- <br /> NO <br /> NO <br /> <br />MAP <br /> <br />TYPE: 1'4OSILE HOfVtg PEF~4i¥ OR APPLICATION NO: <br /> <br />CON]RACIOR. NO. 71471 <br /> [OWN & COUNINY EXCAVATION <br /> <br />INOOL~URN, OR g?0?l <br />PHONE: 982-t'702 <br /> <br /> iIEM <br />M~iLE HOD1E B~ FEE <br />¢~ILE HOM~ 51ALE PEE <br />MOSiLg H~E ZONING <br />MOBILE HOME 5fAT~ 5URCHARf~E <br /> <br />30'/2? <br /> <br />[ORAL A~E0 FE~S <br />PREVIOUS RECEiPIS <br />FHIS RECEIPT <br /> <br />QUANTIIY Al'COUNT <br /> $89.25 <br /> <br /> $b_25 <br /> <br />$115_50 <br /> <br />BALANCE OUE $0.00 <br /> <br />PAYEE: RECEIP? <br />RECEIVED BY: ¢1 f'YPE; CH~CK ~: 8 <br /> <br />THIS iS A VALID P~F~IlT ~ THIS PE~iT E~PiR~ 180 DAYS FROM iTS i~£ DATE. IF <br /> <br />5F~fBACKS: PR 10 LS 5 RS 5 RR 20 SP <br />REMARKS: R~Sg82 ~x<'4~2 1/~ F~F'SIDE~AgR'~Sf BE INSFALL~D PRIOR Fo ~CUPANCY (,)h M/~tLE <br /> HOM~,S~PARAIE PERMII ~QUiRED FOR CARPORT <br />P~NiNG ACT iON: <br />OO AL0 g. WOODLEY, IViARlON COUNTY BUILDING OFFICi~L / ~Y <br /> <br />OFFICE COPY <br /> <br /> <br />