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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO, 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 973(}1 <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 I own or occupy. <br /> lamareglsteredbuilderOR{ )theauthorizedrepresentatlve <br /> of a registered buflder, <br /> The work will be performed by a registered builder, <br /> Other <br /> I have read and agree to the terms stated on ~he reverse side of <br /> this document, <br /> <br />OWNER: <br /> UPPEMBAHL, NOREEN <br /> <br /> /,8206 BUTTEVILLE RD <br /> AURORA <br /> <br /> , RESIDENTIAL <br /> : CONSTRUCTION TYPE'· : OCCUPAN~Y~ <br /> <br /> ME OCCUPANT LOAD; <br />OR <27002 : i~T~ C~T~bNTY <br /> <br />USE OF SUILDING; <br /> MANUFACTURED STRUCTURE <br />MAILING ADCRESSi ...................... SUBDIVISION; <br /> <br />PASCUAL V BRISENO - RENTER <br />981-7352 HSG <br />PNONE: <br /> <br />SITE NUHBER: 92-03648 <br />VALUATION: <br /> <br />48 2W , EFU 9 <br />20. T~b NO i NO <br /> <br />TYPE: MANUFACTURED STRUCTURE <br />CONTRACTOR, NO, <br />UPPENOAHL NOREEN <br />PASCUAL V BRISENO - RENTER <br />~81-7~52 MSG 585--703~ <br />PHONEs <br /> <br />PERMIT OR APPLICATION NO: 43191 <br /> <br /> ITEM <br />MANUFACFUREO STRUCTURE ZONING SURCHARGE <br />MANUFACTURED STRUCTURE STORAGE PERMIT <br /> <br />PAYEE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUG RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> <br /> $25.00 <br /> <br />$40.00 <br />$40.00 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT <br /> <br /> RECEIVED BY: PB TYPE: CHECK t~: 0 <br /> ;~$ THIS IS A VALID PERMIT xtm THIS PERMIT FEE COVERS ONE INSPECTION AND ONE <br /> REINSPECTION. ALL BLOCKING, STAIR INSTALLATION~ PLUMBING, MECHANICAL, AMD ELECTRICAL <br /> CONNECTIONS ARE REQUIRED TO BE COMPLETED UPON REQUEST FOR THE FIRST INSPECTION. IF <br /> ANY OF THE ITEMS ARE iNCOMPLETE, AN ADDITIONAL INSPECTION FEE WILL GE REQUIRED. <br /> PERMIT IS VALID FOR SIX MONTHS ONLY. RENEWED FOR 6 MONTHS UPON WRITTEN REQUEST FOR <br /> AN EXTENSION. PRIOR TO THE EXPIRATION BATE 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: F~ <br /> <br /> ~,/ <br /> REH~RKS: AppPoved for temporary storage of mobile home only, ~ny <br /> nequJre necessary permits <br />DON~LO E, NOODLEY, H~RION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV, 4/90 <br /> <br /> <br />