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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 B:O0 - 4:3,0 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I 8m a reg~ster~.d builder OF{ the authorize¢ feptosentative <br /> <br />L)A f'E: 12/18/91 <br /> <br /> BROWN, VJ. CKi E <br /> <br />SITUS ADDRESS: <br /> <br /> 345 EVERGREEN DR <br />AtJM~V 1LLE OR 9'73.25 <br /> <br />USE O¢ BUILDfNO: <br />MAILING ADDRESS: <br /> <br />Iv~NU FAGI tJRED S'¥RUG'fURE <br /> <br />AUIvlSV ,[ LLE <br /> <br />SUBDIVISION: <br /> <br />CATEGORY: <br /> R ES i DEN 'f' J. A <br /> <br />OCCUPANCY: <br /> <br />OCCUPANT LOAD: <br /> <br />EVERGREEN Iv~B[LE PARK <br /> <br /> PHONE: <br /> <br />LOf: BLOCK: SECTION: <br /> <br />WJf3TH: 55DEPTlI: ~ 12 AREA: <br /> <br /> TOWNSHIP: <br />25 8S <br /> UNrTSZ <br /> <br /> Si'fg NUMBER: 14706 <br /> VALUA'T' iON t <br /> <br />RANGE: ZONE: <br />2W R~ <br />IRREG· LOT: CORNER; <br /> YES NO <br /> <br />IYPE: ~tANUFAC'f'UREO STRUCTURE PEF~I'f' OR APPLICA'f'JON NO: <br /> <br />CON1'RACI'OR. NO. 38238 <br /> <br />11373 Mffll C~eek Rd <br />Aum~¥~t'le, 97325-0000 <br />PHONE: 759~7744 <br /> <br /> l 'F EM <br />fVtANUFAC'FUREI~ ~'i'R'UC'f'URE PLACEMFSN'F/CONNECTION <br />~VlANUFAC]URED STRUCTURE STATE FEE <br />I¥~ANUFAC'IUREB S'I'RtJC'I'URE STATE ~URC,'HARGE <br /> <br />TOTAL ASSE~EB FEES <br />PREViOO~ R~EiPTS <br />TH~S RECEIPT <br /> <br />3?425 <br /> <br />f,~L,JAN~IiY AI'ciOUNI <br /> <br /> $20.00 <br /> $9. ~0 <br /> <br />$211,10 <br />$211.10 <br /> <br />BALANCE DUE $0.00 <br /> <br /> INVOICE <br />TYPE: r..~ECK ~: 0 <br /> <br />RECEIVED BY; BM2 <br /> <br />~o~ THIS iS A VALIO PER,tIT ~ THiS PER,liT FEE COVERS ONE iNSPECTION ANO ONE REiNSPECTiON. ALL: <br />~LOCKING, STAIR iNSTALLATioN. PLUMB[NG. ~ECHANtCAL, ANO ELECTRICAL C~NNECTIONS ARE RE(jU[RE~ T( <br />8E COt4PLETED UPON RE(~UEST FOR THE EIRST INSPECTION. iF ANY OF THE iTEmS ARE iNCOmPLETE. AN <br />AODiTJONAL iNSPECTION FEE HILL 8E REQ~JIRED. PE~IlT IS VALID EOR SiX rflONTHS ONLY. RENE~ED FOR <br />6 ~ONTHS UPON NRITTEN REQ]UEST FOR AN EXTENSION. PRIOR TO THE EXPIRATION ~ATE OF THE PER~iT. <br />IF CONSTRUCTION FAILS TO ~EET ALL RE(~JiR~,IENTS OF STATE LAMS AND MARION COUNTY BUILDING AN~ <br />ZONING ORDINANCES, THiS PEF~IT E~ALL BECO~IE NULL AND VOID. <br /> <br />SE'~BACKS: FR 10 CS 15 RS 15 RR 10 SP ................. <br />REMARKS; ivIOBILE HOf4E PLACE~ENI' <br /> <br />PLANNING AC'lION: <br />DONAL0 E. NOODLEY, MARION COUNTY BUiLDiNG OFFiCiAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 1 ~-56 REV, 4/90 <br /> <br /> <br />