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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 />of a rogistered builder. <br /> <br /> CATE: 08/2,4/92 TIME: 16:19:12 <br /> MITCNELL 'FOOt) <br /> <br /> 1'Ax LO% <br /> 57706~000 <br /> <br />, CONSTRUCTION TYPE; <br /> <br /> AUHSVILLE OR 97525 <br /> <br /> MANUFACTURED STRUCTURE <br /> <br />MAILING ADDRESS: 8U BDIVISION: <br /> EVERGREEN MB PARK <br /> 418&7 KING`5'FON LYONS CR <br /> STAYTON OR 9?583 SITE NUMBER: 92-05055 <br /> PHONE: 769~4565 VALUATION: <br /> <br /> CATEGORY: <br /> RES [DENT IAI... <br />b¢~u¢^~c¥: <br /> <br /> OOCUPANT <br /> <br />LOT: <br /> <br /> 28 <br />WIt)TN; <br /> <br />5,5 <br /> <br />BLOOKZ SECTION: .... :'~1~i "RANGE: ;ZONe; MAp: <br /> 25 8S 2W RM <br /> <br /> 95 5280. i SF NO NO <br /> <br />TYPE: MANUFACTURED STRUCTURE <br />CONTRACTOR, HO. 45465 <br />ROBERT CRESSEY <br />],4262 S. MAPLE GROVE <br />MOLALLA, 97058 <br />PHONE: 829-'6958 <br /> <br />PERMIT OR APPLICATION NOs 42092 <br /> <br />IFEM <br />~ANUFACTUREC STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTUREO STRUCTURE STATE FEE <br />MANUFACTUREC STRUCTURE STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANT I TY AHOLJN 'l' <br /> $],82.00 <br /> $20 _ O0 <br /> <br />$2,1.1..~0 <br /> $o_oo <br /> <br />BALANCE OUE $0~00 <br /> <br />PAYEE:: INVOICE <br /> <br /> RECEIVE[) BY: PB ........................................ TYPE: CHECK ~: 0 <br /> <br />~* THIS IS A VALID PERMIT *~ THIS PERMIT FEE COYERS ONE INSPECTION AND ONE <br />REINSPECTION. ALL BkOCKING, STAIR INSTALLATION, PLUMBING, NE6HANICAL, AND ELECTRICAL <br />CONNECTIONS ARE REQUIRED TO 8E COMPLETED UPON REQUEST FOR THE FIRST INSPECTION. IF <br />ANY OF THE iTEMS ARE INCOMPLETE, AN ADOITIONAL INSPECTION FEE WILL 8E REQUIRED. <br />PERMIT IS VALIO FOR SIX MONTHS ONLY. RENEWED FOR 6 MONTHS 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 HARION COUNTY BUILDING AND ZONING ORDINANCES, <br />PLANNING ACTION: <br /> <br /> REMARKS; MOBILE }4OMB PLACEMENT <br /> <br />OO~ALC E.. MOOOI._EY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICECOPY <br /> <br />SETBACKS; <br /> LS]B <br /> RS ~5 <br /> RR]iO <br /> <br /> <br />