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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: 588-8147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />{ am a registered builder OR ) the autl~orized representative <br />The work will be performed by 8 registered builder, <br /> <br />JOE <br /> <br /> 250 YEN CT <br />AUHSVILLE <br /> <br />HANUFACTUREO STRUCTURE <br /> <br /> EVER6REE~ ESTATES <br /> <br /> ; SiTE NUMBER: 92-0i594 <br />PHONE: 769'~7744 VALUATION: <br /> <br /> tax LOYi CATEGORY: <br /> ~ 577(')6-000 , RESIDENTIAL <br /> : CONSTRUCTfON TYPE: OCCUPANCY: <br /> <br /> :' CoNfN~T 81~Y; OCCUPANT LOAD: <br />OR 97525 <br /> <br />LOT: <br /> <br /> 29 <br /> <br />'RANGE: <br /> <br /> I~REG, LQT; <br /> <br />TYPE: MANUFACTURED STRUCTURE <br />CONTRACTOR, NO. 38238 <br /> Santi~m Ho~es <br />11575 Mill Creek Rd <br />Aumsville, 97325.-0000 <br />PHONE: 769-7744 <br /> <br />PERMIT OR APPLICATION NO: 44245 <br /> <br />ITEM <br />MANUFACTURED STROCTURE PLACEMENT/CONNECTION <br />MANOFACT'URED STRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE STATE SURCltARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> <br /> $20,,00 <br /> $9_1,0 <br /> <br />$21 . J,O <br /> <br /> $0_ O0 <br /> <br />BALANCE OUE $0_00 <br /> <br />PAYEE: INVOICE <br /> <br /> RECEIVEO BY: PB .................................................. TYPE: CHECK, ~: 0 <br /> <br /> *~ THIS IS A VALID PERMIT ** THIS PERMIT FEE COVERS ONE INSPECTION AND ONE <br /> REINSPECTION. ALL BLOCKING, STAIR INSTALLATION, PLUMBING, MECHANICAL, AND ELECTRICAL <br /> CONNECTIONS ARE REQUIRED TO BE COMPLETED UPON REQUEST FOR THE FIRST INSPECTION. IF <br /> ANY OF THE ITEH$ ARE INCOMPLETE, AN ADDITIONAL INSPECTION FEE WILL BE REQUIRED. <br /> PERMIT I$ VALID FOR SIX MONTH3 ONLY. RENEWED FOR 6 NONTNS UPON WRITTEN REQUEST FOR <br /> AN EXTENSION, PRIOR TO THE EXPIRATION DATE OF THE PERMIT. IF CONSTRUCTION FAILS TO <br /> MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, <br />PLANNING ACTION: <br /> SETBACKS: FR <br /> LsZls <br /> <br /> RR_Z0 <br /> SP ......... <br /> REMARKS: MANUF. HOME <br /> <br />DONALO E_ NOOOLEY, ~ARION COUNTY BUIL. OING OFFICIAL, / BY .......................... <br /> <br /> OFFICE COPY <br />FORM # MC 15-~6 REV, 4~0 <br /> <br /> <br />