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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 />registered builder OR( )theatJthorized representative <br /> <br />SCHMID, THOMAS <br /> <br />SIGNATURE OF APPLICANT'. <br /> DATE: <br /> <br /> TAX LOT; <br /> <br /> 7490 SHERMAN RD <br /> AUMSVILLE OR <br /> <br />USE OF BUILDING: <br /> MANUFACTURED STRUCTURE <br /> <br /> SE '~0NT~A~T 'CITY' <br />97525 NARION COUNTY <br /> <br />SUBDIVISION: <br /> <br />UGB <br />NO <br /> <br />CATEGORY <br /> RE$IOENTIAL <br />OCCUPANC~ <br /> <br />OCCUPANT LOAD <br /> <br />W~DTH; <br /> <br />7496 SHERMAN RD ........................... <br />AUMSVILLE 97325 SITE NUMBER: 92-02783 <br />PHONE: 749-1001 VALUATION: <br /> <br /> 29 88 IW RA <br /> DEPTH; ABRA; UNITS: ....... RR~G LOT: CORNER. <br /> 3.64 AC YES 40 <br /> <br />MAC <br /> <br />TYPE: MANUFACTURED STRUCTURE <br />CONTRACTOR, NO~ <br />SCHMIO, THOMAS <br />7496 SHERMAN RD <br />AUMSVILLE 97525 <br />PHONE: 749-1001 <br /> <br />PERMIT OR APPLICATION NO: 41589 <br /> <br /> ITEM <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTURED STRUCTURE STATE FEE <br />MANUFACTUREO STRUCTURE STATE SURCHARGE <br />MANUFACTURED STRUCTURE ZONING SURCHARGE <br /> <br />TOTAL ASSESSE0 FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> $182.O0 <br /> $20.00 <br /> $9.10 <br /> $15.00 <br /> <br />$226.10 <br />$226.10 <br /> $0~OO <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: t^ ~ iA RECEIPT <br /> RECEIVED BY: mb ~Z~ TYPE' CHECK ~: 0 <br /> <br /> ** THIS IS A VALID PERHIT ** THIS PERMIT FEE COVERS ONE INSPECTION AND ONE <br /> REINSPECTIDN. ALL BLOCKING, STAIR INSTALLATION. PLUNBIM~, MECHANICAL, AND 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 BE REQUIRED. <br /> PERMIT IS VALID FOR SIX MONTHS ONLY. RENEWED FOR 6 MONTHS UPON WRITTEN REQUEST FOR <br /> AN EXTENSION, PRIOR TO THE EXPIRATION DATE OF THE PERHIT. IF CONSTRUCTION FALLS TO <br /> NEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING ANO ZONING ORDINANCES, <br />PLANNING ACTION: <br /> SETBACKS: <br /> ~0 <br /> lO0 <br /> <br /> REMARKS: REPLACE EXISTING MOBILE HOME <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILOING OFFICIAL / BY <br /> <br />OFFICECOFY <br /> <br /> <br />