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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 /> Other. <br /> <br />OA'FE: 10~08~91 '[.[ME: 9;39;49 <br /> <br /> THOMPSZ3N, STANLEY <br /> <br /> USE OF BUILDING: l'~'~'-~'~D~00~i' '! <br /> <br /> m EVERGREEN <br /> 9145 BA'FE~ RD SE <br /> AU~V[ LLE OR 97325 <br /> ~ONE; 749~24~0 St~'E NU~ER: 1441'7 <br /> VALUA'f <br />, LOT: ] 8LOOK: ~ SECTION: :TOWNSHIP: r ~E: ~ ZONE; MAP: <br /> <br /> ; I~EG. LOT: <br /> 3~ nOB 3500. s~ ~ NO! Y~S <br /> <br />f'YPE: NANUFAC'fURED ~'}-RUCTURE <br /> <br />CONTRAC'T'OR, NO. 382;,3.,8 <br />SAN'F}'AI'4 MOBILE HQ~ES <br />11373 ¢4ILLCREEK RD ~E <br />AUFI~V i LLE OR 9?325 <br />PHONE: 769-7?44 <br /> <br />PERNIf' OR APPLICA'flON NO: 3bY84 <br /> <br /> I 'F Elvi <br />f'4ANUFACfUREO STRUCTURE PLACF_.NF_.;N'f'/CONNECf L(AN <br />NIANUF'ACTURED STRUCTURE ST'ATE FEE <br />MANUFAC'f'UREB STRUCTURE ~'f'A'f'E ~UFTC~ARGE <br /> <br /> 'O'fAL ;~ED :FEES <br /> :::: :i :': . PREVIOUS RECEIPTS <br /> :TH iS. RECE.[ PT: <br /> <br />QUANT' 1 <br /> <br />AHOUNT <br /> $~s2_08 <br /> $20.00 <br /> $9,~0 <br /> <br />$2'/'1,'10 <br />211,1C} <br /> $0.00 <br /> <br /> BALANCE L~,JE $0 . 00 <br /> PAYEE: :' .' INVOiCE <br /> RECE,[VED BY: Offl2 · ' ":: 'TYPE: CHECK ~: S I: <br /> <br /> ~ THiS IS A VAt-iD PEI;~4.~:T .AND ONE ...... <br /> REINSPECTiON. ALL BLOCKJ-N61~'"'8~A[R MECt'IAC41CAL, AND ELECTRIOAL <br /> OC~NI~HECETIONS ARE REQUIRED, THE FIRST iNSPECTiON. IF ANY <br /> E .ITEM5 ARE INCO~PL.E1-E~.AN ADDi,~r::[ONAL iN$~.~[ON~,,PrEE [~iLL 8E REQUIRED. PEF~IT 15 <br /> VALIO FOR SIX i~DNTHS ONL¥.??RE~I~/ED:::f:OR: ',:§: i~0N~'~0N:ii~I~J[TTE~I REQUEST FOR AN EXTENSiON, <br />PRIOR TO THE EXPJ[RATION DAT,E,:,'OE,LTHE~:~ER~][T ~[F:LC~N$1-~OTJ[~N FAiL,S TO I~EET ALL <br />REQUiRE~4E]NTS OF STATE ~ .ANI3:7ONlNG ORDINANCES. THIS <br />PER~I T SHALl. BECOME NULL. AND!~OJlD.' ,:' :" <br /> <br />~E1BACKS: FR 10 L5 10 R~ l0 RR 10 SP <br />RErVlARKS: IvIOB['LE HOIV~E PLACE~EN] ................. <br /> <br />PLANNING AOIfjON: <br />DONALD E. TcCJODLEY, FIARiO¢4 COUNTY BUiLDiNG OFffJCJAL / BY <br /> <br /> <br />