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MARION COUNTY BUILDING INSPECTION <br /> SENATORBLDG NO 225 <br /> 220 HIGH STREET NE <br /> SALEM, ORI=GON 97301 <br /> <br /> PHONE:: 588-5147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder, <br />The work will be performed by a registered builder <br />Other. <br /> <br />SIGNATURE OF APPLICANT <br /> gATE <br /> <br /> OAiE: 09/18/91 <br />OWNER <br /> GREEN, JOE <br />SITUS ADDRF$S <br /> <br />rIME: 10:40:58 <br /> <br /> 11753 WARBLEN LANE NE <br />AURORA OR 9?002 <br /> <br />~RI~ C~UN TY <br /> <br /> ~UFACTURP2O SFRUC FURE · <br />MAILING ]~DDRESS : SUBDIVISION <br /> <br />NO <br /> <br />CATEGC, R¥ <br /> RESt D~N l 1AL <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br />C~N'IURY M~D0~'¢c~ <br /> <br />NO OF BEDflOOM~ <br /> <br />PHONE: 636-7918 SITE NUI~BER: 14127 <br /> VALUAfION: <br /> <br /> 9 33 3~ 1N <br /> 69 60 SF Y~i Y~ <br /> <br />MAP <br /> <br /> 1 <br /> <br />FYPE: ~4NUFACFUREO STI~UCFURE PERMIT OR APPLICATION NO: 35191 <br /> <br />CONIRAC1'OR. NO. 61964 <br />HARRISON HOI~IES <br />13233 SE I~!CLOUGHLIN <br />~ILNAUKJE, ORE 9?222 <br />PHONE: 654-0265 <br /> <br /> irBvl <br />~IANUFACTURED SrRUCIUR8 PLACEMENF/(.7.3NNECrlON <br />IVIANUFACIURED S]~.JO1'URE SIA16 FEE <br />I~ANUFAC[URED SfRUCTURE StArE S~JRCHAREiE <br />t4ANUFAC'fURED SIRUCfURE ZONJN6 ,~JRCHARG~ <br /> <br />TOfAL A.SSE~ED FEES <br />PRE¥iCUS RECEIPTS <br />THIS RECEiP'f <br /> <br />QtJAN¥ITY A]~ffOUN'f <br /> $183.00 <br /> $20.00 <br /> <br /> $15.00 <br /> <br />226.10 <br /> <br />BALANCE ~g $0.00 <br /> <br /> RECE,(VbL) I~Y: DM2 ]YPE: CHECK ~: ~, E <br /> <br />;~ THIS IS A VALID PERt~iT ~ THIS PER~,IIT FEE COVEI~S ONE ][NE~PE~CTJ[ON AND ONE <br />REINSPECTION. ALL BLDOK[N(~, ~TAIR iNSTALLATioN,, pLI. IF~j[NG, fflEQ-tN~ICAL,, AND ELE~OTRICAL <br />fgOINNECTIONS ARE REE~UiRED TO BE O01~IPLETED UPON REI~E~T FOR THE FIRST /NSPECTiON+ IF ANY <br />OF THE ITEfflES ARE INCOMPLETE, AN ADD/TiONAL J[NSPECTioN FEE WILL BE REE~XJIRED. PEI~IIT I~5 <br />VAL1D FOR SIX IV~NTHS ONLY. REWIRED FOR 6 fflONTH~ UPON WRITTEN REI~E~T FOR AN EXI'ENSION, <br />PRIOR TO THE I~XPIP, ATION QATE[ Ot= THE PERfflIT. lF CONSTRUCTION FALLS TO MEET ALL <br />piqUE IRE~ENTS OF STATE ~ AND IKARION COUNTY BUILDIN~ AND ZONING ORDINANCES, THiS <br /> I;~IIT SHALL E)ECOI~E NULL AND VOID. <br /> <br />"ORM * MC ~ s-ss ,s~o OF FICE COPY <br /> <br /> <br />