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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 /> Othor .. <br /> <br />,.~A l b,,: 10/99/9'1 'f'iME: 8!08:29 <br /> GREEN, JOE <br /> <br />'795b '139' <br /> <br />3ONSTRUCTION TYPE <br /> <br />CATEGORY: <br /> <br />OCCUPANCY <br /> <br /> ] ]665 FALCON CT <br />AURORA OR 9?092 <br /> <br /> IVlANU EAC ['UREO ST RUC-T:U RE <br />MAILING AODRESS: <br /> <br />90 NALF,).NG NC'OD DR <br />LAKE OSWEGO. OR 9?035 <br />PHONE: 636--7918 <br /> <br />40 33 35 <br /> 80 85 5100, 57 <br /> <br />CONYRAOT CITY: UGS' <br />MARZON COUNIY NO <br /> <br />OCC, UPANT LOAD. <br /> <br />CEN'f RURY MEA Or.:)l,d~ <br /> <br /> SiTE NUMBER; 14642 <br /> VALUA'f' 10N: <br /> <br />RANGE: ZONE: <br /> <br />[RREG LOT: CORNER: <br /> NO NO <br /> <br />RESIOEN/'tAL <br /> <br />MAP: <br /> <br />IYPE.: ~ANUEAC'IURE0 SI'RUC'T'Uf~E PER~Z'f' OR APPLfCA'¥'ZON NO; <br /> <br />C(:)N'f'RA(¢'f'OR, NO. 51984 <br /> BRA'f"¥'ON EN'f'ERPR I$ES <br />'!V/4-0 PRA}~RtE RD <br />b:LJt.~EN E, <br />PHONE; <br /> <br /> ~f'E~ <br />NIANUFAC'T'UREO ~'f'RUC'f'URE PLAC~F_..NT/OONNECT[ON <br />~ANUFAD'TUR~D STRUCTURE ST'ATE FEE <br />MANUFACTURED ~TRUCTURE $'rATE SURCHARGE <br />~ANUFAC'fURED STRUCTURE ZONING ~AJRQ'-IARGE <br /> <br />TOTAL AS~A~EO FEES <br />PRB¥1OUS RECEIPTS <br />T'HIS RECEiPT <br /> <br />362?2 <br /> <br />QUAN'¥'i'~Y <br /> <br />AIvtOUNT <br /> $182_D9 <br /> $20.00 <br /> $9_1o <br /> $'}5.00 <br /> <br />$226.10 <br />$226,10 <br /> $o,oo <br /> <br />~ALANCE OUE $0,00 <br /> <br />PAYEE: RE;CE:~P'f' <br />f~ECEiVED ~Y: 0M2 TYPE: CHECK ~: 0 <br /> <br /> THIS IS A VALID PER~[T ~o~ THIS PER,lIT FEE 6OV£R5 ONE ~NSPECTION AND ONE ~EINSPECTION. ALL <br />~TAiR INSTALLATION, PLUI~IBING, MEO~'IANICAL, AND ELECTRICAL CONNECTIONS ARE REf,~CJIRED TO 8E C(~PL <br />~'~JEST FOR THE Fillet INSPECTION, iF ANY OF THE ITEFI~ ARE iNCOmPLETE, AN ADDITIONAL INSPECTi¢ <br />RE.~UARED_ PER~iT i~ VAL/O FOR SiX h!ONTHS ONLY- RENE~EO POR ~ fflONTH$ Ul;~I3~ HRII'TEN I;bEQUESI <br />E~TENSION, PRIOR TO THE ~XPiRATION BATE OF THE PERI~IT. IF CONSTI~I.JCI'ION FAIL~ TO ~E'T ALL Rg( <br /> S'fA~E LAHS AND f~tARION COUNTY BUILDING AND ZONING ORDINANCES, THiS PEf~iT SHALL ~ECO~ NULL <br /> <br />!SE'I'BACK~; FR 10 LS 5 R~ 15 RR 12 SP <br />RE~ARK:5: MFG'"NO~E R~3045 <br /> <br />PLAI'qlkl I. NG ,AC I ION: <br />L)ONALD E. ]/~OOL)LEY. [',,1ARION (~OUNIY BUILDING OPI':IC,tAL / BY <br /> <br />OFFICE cOPY <br /> <br /> <br />