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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 /> lamareglsteredbuilder0R( ) the authorized representative <br /> e a registered builder, <br /> <br /> DATE." 07/30/92 TIME: 12:~6:19 <br />,'owR~h~ <br />[ ZACHER, GALE <br /> <br /> 122i? DONALD RO NE <br />AURORA OR <)7002 <br /> <br /> MANUFACTURED STRUCTURE <br />'~'AILING ADDRESS: ' <br /> <br /> SANE <br /> <br /> PHONE: 678~1456 <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> DATE: <br /> <br /> LOT <br />5-00109155-92 <br /> <br />30NTRACT CITY UGB <br />MARION COUNTY NO <br /> <br />SITE NUMBER: 92-02717 <br />VALUATION: <br /> <br />CATEGOR'f <br /> RESIDENTIAL <br />OCCUPANCY: <br /> <br />WIDTH DEPTH· &REA <br /> <br /> TOWNSHIP= RANGE ZONE~ <br /> <br /> 4S 1W EFU <br /> _ NITS RREG, LOT; CORNER <br />201~ AC NO NO <br /> <br />TYPE: HANUFACTURED STRUCTURE <br />CONTRACTOR~ NO. 14922 <br /> COMH Woodburn Inc <br />285 S Pacific H~y <br />Woodburn, 97071-0000 <br />PHONE: 98~41 <br /> <br />PERMIT OR APPLICATION NO: 41466 <br /> <br />ITEM <br />MANUFACTURE0 STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTURED STRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE STATE SURCHARGE <br />MANUFACTURED STRUCTURE ZONING SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS R[CEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $182.00 <br /> $20.00 <br /> $9.10 <br /> $15.00 <br /> <br />~226.10 <br />226.10 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT <br /> <br /> RECEIVED BY: PB .................. TYPE: CHECK ~: 0 <br /> <br /> *~ THIS IS A VALID PERMIT ~* THIS PERMIT FEE COVERS ONE INSPECTION AND ONE <br /> REINSPECTION. ALL BLOCKING, STAIR INSTALLATION. PLUNGING, HECMANICAL. AND ELECTRICAL <br /> CONNECTIONS ARE REOUIREO TO BE COHPLETED UPON REOUEST FOR THE FIRST INSPECTION. iF <br /> ANY OF THE ITEMS ARE [NCOMPLETE. ANAOOITIONAL INSPECTION FEE ~ILL BE REQUIRED. <br /> PERMIT IS VALID FOR SIX HONTH$ ONLY. RENENED FOR 6 HONTHS UPON WRITTEN REQUEST FOR <br /> AN EXTENSION. PRIOR TO THE EXPIRATION OATEOF THE PERMIT. IF CONSTRUCTION FAILS TO <br /> HEET ALL REQUIREMENTS OF STATE LAHS AND MARION COUNTY BUILO~NG AND ZONZNG OROZNANCES, <br />PLANNING ACTION: <br /> SETBACKS: 20 <br /> <br /> 30 <br /> <br /> REMARKS: MS PLACEMENT APPROVEO FOR ONE OWELLING PER PARCEL ONLY <br /> <br /> OFFICE COPY <br />-=ORM ~ MC 15-56 REV. 4/90 <br /> <br /> <br />