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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: 588-514'7 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am porforming work or~ a property I own or occupy, <br /> <br />©ATE: 12/18/91 'T'IrqE.* 13:20:20 <br /> SAN'I 1 AI~ HO~ <br /> <br /> 320 EVERGREEN DR <br /> AUMSV U.LE OR 97325 <br /> <br />USI~ OF SUILDING <br /> <br /> NtANUFAC'f'URED S'f RUC]:URE <br />MAILING ADDRESS: <br /> <br /> TAX LOT; <br /> 57'706-000 <br /> CONSTRUCTION TYPE: <br /> <br />bONTRACT O~TY: UGB: <br />AUI~SVi LLE NO <br /> <br />SUSDIVISION: <br /> <br /> PHONE; <br /> <br />LO'[: SLOCK: SECTfON: /OWNSHJP: <br /> 37 25 aS <br />WIDTH: DEPTH: AREA: UNITS: <br /> 55 85 4675. SF <br /> <br />SITE NUIVlBER: 14'704 <br />VALUATION: <br /> <br /> R~ <br /> <br /> NO, NO <br /> <br />TYPE: IVIANUFAC'I'URED STRUCTURE PER~I'F OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 38238 <br /> <br />')'1373 Mff'l'l Creek Rd <br />Aurne;vi'f'le, 9?325-0000 <br />PHONE: 769-??44 <br /> <br />ITEM <br />NANUFACTUREO ~'f'RUC'f'URE PLACEM~'N'r/CONNEC'f'ION <br />f, IANUFAC'I'UREO STRUCTURE STATE FEE <br />I~ANuPAcI'URE~ STRUCTURE STATE :ECJRCHARGE <br /> <br />I'D'fAg ASSESSED FEE~ <br />PRE~iOUS RECEIPTS <br />'I'HiS RECEIPT <br /> <br />37410 <br /> <br />QUANT i I'Y <br /> <br />,,~q'ciOUN'f' <br /> $]82_00 <br /> $20.00 <br /> <br />$211.10 <br />$211 _ 10 <br /> $0,00 <br /> <br />BALANCE DUE $0. <br /> <br />PAYEE: iNVOICE <br />RECEIVED BY: D~I2 TYPE: CHECK ~: 0 <br /> <br />~< THiS IS A VALID PE~IT ~< THiS P~RI~IT FEE COVER~ (;]NE iNSPECTION AND ONE REIN6PECTiON. ALL <br />8LOCKING, STAI~ INSTALLATION, PLU~IE~ING, ~ECHANICAL, ANO ELECTRICAL CONNECTioNS ARE REQUiREO T( <br />8E COMPLETED UPON RE(~JE~T FOR THE FIRST INSPECTioN. i~ ANY OF THE ITE]~S ARE INCO~IPLETE. AN <br />ADDITIONAL INSPECTION FEE NILL BE R~'(~JiRED. PEF~1IT IS VALID FOR SIX ~ONTHS ONLY. REN~I~EO FOR <br />6 I~]NTHS UPON WRITTEN REQU~.qT FOR AN ~XTENSION, PRIOR TO TH~ ~XPlRATION OA~E OF THE PER~IiT. <br />IF CONSTI~JCTiON FAILS TO ~T ALL PJ~IR~TS OF STATE LA~ AND /~IARION ODUNTY BUILDING ANO <br />ZONING ORDiNANCpq, THiS P~RI~IlT SHALL ~ECO~IENULL AND VOID. <br /> <br />~E'f'BACKS: P'R 10 g~ 15 ~ 15 RR 10 SP <br />REMARK3: ¢4OBILE IflDME PLACE~EN'f .............. <br /> <br />PLANNING ACTION: <br />OONALO E. NOODLEY, MARION COUN'I'¥ BUILDING OFFiCiAL / BY <br /> <br />OFFICI~ COPY <br /> <br /> <br />