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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 />I am performing work on a property ~ own or occupy. <br /> <br />SIGNATURE OF APPLICANT: <br /> DATE: <br /> <br />OWNtr~TE: 12/11/91 I'iMEt <br /> 51MP,,.40N , GREG <br /> <br />15:45:07 <br /> <br /> TAX LOT: CATEGORY. <br /> <br /> 57706-000 <br />CONSI RUC/ION TYPE: OCCUPANCY: <br /> <br />RESiDEN'f'tAL <br /> <br /> 355 EVERGREEN DR <br />AU~VILLE OR 97325 <br /> <br />CONTRACT Ci'fY: UGB: OCCUPANI LO~O"~'~ <br />AUI~EVILLE NO NO OF BEDf~00M$ <br /> <br />MAILING ADDRESS: NANU FAC'i'U RED S'r RucTuRE <br /> <br /> 35457 ~. 8AW'I'ELL <br /> MOLALLA <br /> PHONE: 829-5290 <br /> <br />LOT ' SI. OOK: <br /> <br />SECTICPN: TOWNSHIP: <br /> <br />: SUBDIVISION; <br /> <br /> EVERGREEN MOBILE <br /> <br /> SITE NUMBER: 14707 <br /> VALUAT i ON: <br /> <br />WIDTH. DEPTH: AREA: <br /> 85 100 <br /> <br />25 UNITS: 8~ InnEG. LOT: <br /> SF YES YE~ <br /> <br />I'YPE: MANUFACTURED SI'RUC'I'URE PERRII' OR APPLICATION NO: 3'7327 <br /> <br />CONTRACTOR, NO. <br />51MP'f¢~, GREG <br />3845'7 5. 5AW'f'ELL ~9 <br />MOLALLA <br />PHONE: 929-5290 <br /> <br /> I'I'EM <br />MANUFACTURED S'f'RtJC'f'URE PLACEf~IEN'I'/CONNECT[ON <br />MANUFACIURED ~'I'RUCI'URE ~'T'A'f'E FEE <br />RANUF'AC'rURED ~'r'k'UClURE S'f'A'rE SURCHArgE <br /> <br />TOTAL ASS~ED FEES <br />PRE¥IOUS RECEiP'F8 <br />'I'HI8 RECEIP'¥ <br /> <br />QUAN'T'II'Y <br /> $182.(~0 <br /> $20.00 <br /> $9_-~0 <br /> <br />$9~,~0 <br /> <br />BALANCE CUE $0.00 <br /> <br />PAYEE: INVOICE <br /> <br /> RECEIVE0 BY: DM2 ................................................................................................................... TYPE: CHECK ~; 0 <br /> <br /> ~ THiS IS A VALID PERMIT ~ THIS PER~IiT FEE COVER~ ONE INSPECTION AND ONE REINSPEC'FioN. ALL <br /> 8LOCKING, STAIR iNSTALLATION, PLUIV~ING, MECHANICAL, AND ELECTRICAL CONNECTION5 ARE REOUIRED <br /> BE CO~IPLETED UPON REQUF~T FOR THE FIRGT INSPECTION+ iF ANY OF THE iTEIV~ ARE iNCOMPLETE, AN <br /> ADDiTiONAL iNSPECTiON FEE WILL 8E REQUIRED. PERMIT IS VALID EOR SIX MONTH~ ONLY. Rb3~P2~ED FOR <br /> 6 I~0NTH3 UPON WRITTEN REQUEST FOR AN EXTENSION, PRIOR TO THE EXPIRATioN DATE OF THE PER~IT <br />IF CONSTRUCTION FAIL~ TO MEET ALL RE~UIRE~4ENT~ OF STATE I=A)A~ AND rflARION COJNTY BUILDING <br />ZONING ORDINANCE31, THiS PERMIT ~HALL BECOME NULL AND VOID. <br /> <br />SETBACKS: FR 10 LS 15 R~ 15 RR 10 ~P <br />REMARKS: MOBILE HOME PLACEREN! ................ <br /> <br />PLANNING ACf'iON: <br />IDONALO g. WOODLEY, MARION COUNTY BUiLDiNG OFFICIAL / 8Y <br /> <br /> OFFICE COPY <br />For-tM # MC ~5-56 REV, 4/90 <br /> <br /> <br />