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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 2~5 <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 /> tamaregisteredbuHderOR( )theauthorizedreoresentatwe <br /> of a registered builder, <br /> The work will be performed by ~ res stered builder <br /> Other <br /> <br />, OWNER:' .... TAX LOT: <br /> WEBER., JOE r7706_000 <br /> <br />SIGNATURE OF ~PPLICANT: <br /> <br /> DATE; <br /> <br />CONSTRUCTION TYPE; <br /> <br /> CUHSVIL LE <br /> <br />OSE 0¢ BUILSlNS: <br /> hARUFACTtJRED STRUCTURE <br /> <br />MAILING ADDRECS: <br /> <br />SAME <br /> <br />PHONE: 765 <br /> <br />LOT; <br /> <br /> 29 <br />WIDTH: <br /> <br /> db~fffA~f' 61T~ <br />:) 7525 qUHSVIL. LE HO <br /> <br />SUBDI SION'. <br /> <br /> EV~ <br /> <br /> SITE NUMBER: <br /> v 1,4t. IJA t iON: <br /> <br />, SATEGO RY'. <br />i RESIO["N'{ tAL. <br />: b~uPi~cY; <br /> <br />: NO, OF BEPROOM8; <br /> <br /> ' BLOOk: ........ SECTION' ""'Y(~W~H'P~ .... ~ANG~ .......... ZONE: ....... MAI¢. <br /> <br /> 2 5 . 8 S 2 I~ D ~ <br /> DSPTH: ARE~; .......... O NI~: ' ~R~G.'L~%; CORNER; <br />55 ~S SF YES NO <br /> <br />TYPE: 14ANUFACTURED STRUCTURE <br />CONTRACTOR, NO. 58258 <br /> Santiam Homes <br />.].t575 H'flt C~eek Rd <br />Aumsville, '¢7325-0000 <br /> <br />PERMIT OR APPLICATION NO; 44245 <br /> <br /> ZI'EH <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTiON <br />HANUFACTUREO STRUCI'U~E STATE FEE <br />MANUFACTURED STRUCTURE STATE SURCHARGE <br /> <br />TOXAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE OUE <br /> <br />QUANTITY aHOUNr <br /> $L82.oo <br /> $20.00 <br /> <br />$ 21,,,. lO <br />$2i.L_ 10 <br /> ~}} (} II 0(:~ <br /> <br /> PAYEE: iNVOiCE <br /> RECE'IVED SV." ?B ........................................................ TYPE; CHECK ~; 0 <br /> <br /> · ~ THIS IS A VALID PERHIT ** THIS PERMIT FEE COVERS ONE INSPECTION DND ONE <br /> R~INSPECTION. ALL BLOCKING, STAIR INSTRLLATIOfl; PLUMBING, MECHANICAL, AND ELECTRICRL <br /> CONNECTIONS ~RE REQUIRED TO BE COHPLETED UPON REQUEST FOR THE FIRST INSPECTION. iF <br /> ~HY OF THE ZTEHS REE [NCOHPLETE, ~N RDDZT[OflRL ~NSPECT[ON FEE ~[LL.~E REQUZ~E~. <br /> PERMIT IS VALID FOR SIX HONTHS ONLY- RENEWED FOE 6 MONTHS UPON ~RZT'FE~ REQUEST FOR <br /> AN EXTENSION, PRIOR TO THE EXPIRATION DRTE OF THE PERMIT. IF CONSTRUCTION FAILS TO <br /> M~E~ ~LL REQUIREMENTS OF STRTE L~WS ~ND H~R[ON COUNTY ~UiLDING 6NO ZONING ORDINANCES, <br />F LANNIN{~ ACTION: <br /> SEIB(~C}U~: FR_IO <br /> <br /> R <br /> RR.,,LO <br /> REHARK~': HANUF,, HOHE <br />DONALO E. XDOOLEY,, N~R~OH COUNTY ~UN2~ZN60FFZCZ~L / <br /> <br /> INVOICE/RECEIPT <br />FORM # MC 15.58 RE~/, 4/~0 <br /> <br /> <br />