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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9'/'301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other <br /> <br />DATE: 12/11/91 TII~IE: 15:55:55 <br /> COE, JACK <br /> <br /> 1854 LARK C'C~JR'I' <br />~VRORA <br /> <br />USE OF B LDING: <br /> <br />MAILING ADDRESS: <br /> <br />TAX LOTz <br /> <br /> NE ~ONTRACT CITY: UGS: <br />OR 97002 <br /> f4ARI ON COUNTY NO <br /> <br />MANUPAC'fURED S'f RUCTURE <br /> <br />CATEGORY: <br /> RES l DEN'! 1 AL <br /> <br />OCCUPANT LOAD: <br /> <br />SUBDIVISION: <br /> CENTURY ~EADONS ~4 <br /> <br /> PHONE: SiTE NUIV~ER: 15058 <br /> VALUAI' i ON: <br />LOT. BLOCK: SECfl0Ni .i:6WNS~i~: ni~J6~i ZONE: <br /> 10 33 35 lIN AR <br /> 60 85 5100. SF NO NO <br /> <br />MAp: <br /> <br /> 1 <br /> <br />TYPE: IVtANUF'AC'I-URED STRUCTURE PEN"41'f OR APPLICATION NO: 37208 <br /> <br />CONTRACTOR, NO. 67318 <br />R'~cR Rudtshau~er <br />5458 Dumore~ DP <br />Aum~¥i "1 "le, 97325-0000 <br />PHONE: 585-2684 <br /> <br />/V~ANUPAC'rURED 5TRUC'rURE PLACF2flEN'r/CONNECTiON <br />IvlANUFAC'TURED STRUCTURE STAI'E FEE <br />NANUFACTURED STRUCTURE STATE ,t~4JRIDHARGE <br />~ANUPAC['URED STRUCTURE ZONING .:~JRCHARGE <br /> <br />'rOTAL ASSfS.SSEO FEES <br />PRE¥iOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY ~OUN'T' <br /> $182.00 <br /> $20.00 <br /> $9_10 <br /> $15.00 <br /> <br />$226.10 <br />$226.10 <br /> $o_oo <br /> <br />BALANCE OUE $8.00 <br /> <br />PAYE~: RECEIPT <br />RECEIVED BY: DM2 'TYPE: CHECK ~: 0 <br /> .... .............................. ~ T~.~ % ~Z % % %,-, -,--:~ ~ .~ % 77 % %,,,, ~,~ ....... <br /> <br /> ~ THiS IS A VALiO PER,AlT ~ THISPER~IT FEE COVERS ONE INSPECtiON AND ONE REINSPECTioN. ALL <br /> ~LOCKiNG, STAIR INSTALLATION, PLUMING, ~E~HANICAL, AND ELECTRICAL CONNECTION8 ARE REQUIRED l'( <br /> ~E COMPLETED UPON REQUEST POP THEEiRSTIN,SPECTiON. IF ANY OF THE iTE~I~ ARE INCOMPLETE, <br /> ADDITIONAL iNSPECTION LEE ~ILL BE REQUIRED. PERMIT iS VALID FOR SIX ~ONTHS ONLY. RENE~ED <br />G ~3NTHS UPON ~RiTTE~ RE(~E~T FOR AN EXTENSiON,.PRIOR TO THE EXPIRATioN DATE OF THE PER~IT_ <br />IF CONSTRUCTION PALLS TO ~EET ALL RE~UIRE~ENTSOF STATE LA~,~ AND ~iARION COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS PE~IIT .SHALL 8ECO~IE NULL AND VOiD~ <br /> <br />~E'fBACKS: F'R 10 LS 5 R'~ 15 RR,,.,12 SP .................. <br />REfV'C, RK,~: MFG'"HOf~E .... <br /> <br />PLANNING ACTION: <br />[,)ONAgD E. NOODLEY, I~.RIC~',I COUNTY BUiLDiNG OFFICIAL / BY <br /> <br /> <br />