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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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 />09/16/91 <br /> <br />'TA× LOT <br /> <br /> CONSTRUCTION T~RS <br /> <br />MAILI'NG ADDR~S~ ~t~I~UFA(,;FURED STF-,"OCTURE ' <br /> <br />3~62 WILSON S1 ~ <br />SALEM OR 9'f302 <br /> <br />PHONE ~ 581-4029 <br /> <br />5IIE NUNBEN: 14020 <br />VALUAJON; <br /> <br />MAp <br /> <br /> ,DEPTH AREA 2~ iUN TS <br />55 ~5_ 46V$- <br /> <br />~ I~REG LO1 z~-~l CORN£n <br />5P NO NQ <br /> <br />TYPE: MANUFACTURED SI'RUCIUNg PERMIf OR APPL1CAflON NO: <br /> <br />CONIRACIOR, NO. 490? <br />KiLROY5 MO'~ILE HOME <br />2230 NO PACIFIC MWY <br />~(~J0~JURN, OREG~]N 97071 <br />!~HONg: 371-6820 <br /> <br />if b. M <br />MANUFACfURED SfRUCfURE PLAOP.~ENf/CONNECf~ON <br />~ANUFACTURgD 5TRUCTURg SLATE FEE <br />MANQPACfURED SfRUCfURE STAf~ SURCHARGE <br /> <br />3OTAL A~E~ED ~EE5 <br />PREVIOUS RECEIPf'S <br />THIS RECEiPF <br /> <br />QUANTITY m~OUNI <br /> <br />$211,,10 <br />$211.10 <br /> $0oo <br /> <br />BALANCg ~IE $0.00 <br /> <br />PAY~g: iNVOiCE <br />R~CglVED BY: L)¢~2 fYPE: C~ECK ~: 5 E <br /> <br /> ~ THiS IS A VALID P~R~IT x<~ THiS P~iT FEE COVER~ ONE iNSPECTION AND ~E <br /> ~iNSPECTi~. ALL GL~KING, STAIR INSTAL~Ti~. P~ING, ~I~L. ~D ELECTRICAL <br /> ~N~T[~S ARE RE. iRED TO BE ~PLETED U~ ~T FOR THE Fi~T INSPECTI~. iF ~Y <br /> OF THE IT~ ARE IN~P~TE, ~ ADDITI~AL [NSP~TI~ FEE HILL BE R~iREO. PE~iT <br /> VALID ~R 51X ~THS~LY. R~ED ~R ~ ~T~U~ ~RiTT~ R~T <br />PRIOR TO THE ~Pi~Ti~ ~TE OF THE P~IT. IF ~T~CTi~ FAI~ TO ~EET ALL <br />~iR~TS O~ STATE ~ ~O ~RI~ ~NTY BUI~ING ~O Z~ING OROiN~C~. THIS <br />PE~1T ~ALL 6E~E NULL ~O ~[O. <br /> <br />$Ef'SACKS: PR 10 LS 10 K~ 10 RR 10 SP ....... <br />REC4~RK~: MOBILE HOC4E PLACE~ENI <br /> <br />PLANNING ACflON: <br />DONALD ~. WC%)DLEY, ~ARiON COLINIY BUILDING OPPiCIAL / BY <br /> <br /> <br />