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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 /> DATE: 10/12/92 TINE: 10:27:55 <br />~ oWN~.. <br /> PEERY~ GREGORY & DEBORAH =i 70540-110 <br />' ~ITUS ADORES5[ I' CONSTRUCTION TYRE= <br /> <br /> i1585 BUNTTNG LANE NE <br /> AURORA OR 97002 <br /> <br /> HANUFACTURED STRUCTURE <br />F~'XiEi~ ~6'~; .......................... <br /> CENTURY HEADOWS <br /> <br /> SITE NUMBER: <br /> PHONE: 678-2~58 VALUATION: <br /> <br />LOT: <br /> <br /> iUNI imREG LOT; j CORNCR: <br /> , ~ NO <br /> <br />TYPE: MANUFACTURED STRUCTURE PERHIT OR APPLICATION <br />CONTRACTOR, NO. <br />PERRY, GREGORY & DEBORAH <br /> <br />427~2 <br /> <br />PHONE: 678-2558 <br /> <br /> ITEM <br />MANUFACTURED STRUCTURE PEACENENT/CONNECTION <br />MANUFACTURED STRUCTURE STATE FEE <br />HANUFACTUREO STRUCTURE STATE SURCHARGE=: ' <br />MANUFACTURED STRUCTURE ZONING,SURCHARGE ' i: , <br /> <br />QUANTITY <br /> <br /> ' ]: TOTAL ASSESSED :FEF]S <br />:::.. 5 :];PREVIOUS'~--~- i:. RECE I P:T:S <br /> : THIS RECEIPT <br /> .: <br /> "'BALANCE ]DUE- <br /> <br />ANOUNT <br /> $182.00 <br /> $20.00 <br /> $~.~o <br /> $15.00 <br /> <br />$226,10 <br />$226.10 <br /> $o.oo <br /> <br />$0.00 <br /> <br />PAYEE: RECEIPT <br />RECEIVED BY: cr CHECK ~: 0 <br /> <br /> ~ THIS IS A VALID PERMIT ~:THZS::PERHIT!,::FEE:,;.COVEE~';~ONE,:ZNSPECTION AND ONE <br /> EINSPECTION. ~LL BLOCXING,$TAIR:'~NST~AT.I.~N~PLUMB~NG,~ MECHANICAL, AND ELECTRICAL <br /> CONNECTIONSARE REOUIRED.TOBECOMPEETED~.OpON:REQUEST:FOR:THE FIRST INSPECTION. IF <br /> ANY OF THE ITEMS ARE INCOMPEETE~AN';AoDITIoH~]:'~NSPEcTIoN:~FEE WILL BE REQUIRED. <br /> PERMIT IS VALID FOR SIX ~E~E#ED. FoR ~ ;~MO~TH$: UPON WRITTEN REQUEST FOR <br /> RN EXTENSION. PRIOR TO THEEXPIR~TION DRTE OF.:THE PERMIT'i IF CONSTRUCTION FAILS TO <br /> MEET ALL REQUIREMENTS OF STATE LRWS:AND ~RION COUNTY BUILDING AND ZONING ORDINANCES. <br />PLANNING ~CTION: <br /> SETBACKS FR <br /> LS 5 <br /> <br /> RR~O <br /> RENARK$: NANUF. HOME SP ...... <br /> <br />OONA O E, WOOOLE¥, UARION COUNTY 8UILDING OFFICIAL / <br /> <br /> )FFICE COPY <br /> <br /> <br />