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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 rfcg ~ ered builder. <br /> <br />Qther <br /> <br />DATE: Ol/13/95 TINE: 10:2;~:S2 <br />BURLEIGH, .]AMES & LECTA <br /> <br /> 11982 STEINKAMP RD SE <br />AUMSVILLE OR 97325 <br /> <br />MANUFACTURED STRUCTURE <br /> <br />, MAILING ADDRESS: <br /> <br /> 56510946 <br />OONSTRObTION TYPEr <br /> <br />MARION COUNTY: NO <br /> <br />RESIDENTIAL <br /> <br />PO BOX 18102 <br />SALEM 97305 <br />PHONE: 595-8790 <br /> <br />SITE NUMBER: 9~-00150 <br />VALUATION: <br /> <br />WIDTH; DEPTH: AREA: <br /> <br />8S 1W AR <br />1,666 ~C NO NO <br /> <br />MAP: <br /> <br />TYPE: MANUFACTURED STRUCTURE <br />CONTRACTOR, NO. <br />BURLEIGH, JAMES A LECTA <br />PO 80X 18102 <br />SALEM 97505 <br />PHONE: 393~8790 <br /> <br />PERMIT OR APPLICATION NO: 44598 <br /> <br />ITEM <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />MAMUFAOTUREO STRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE STATE SURCHARGE <br />MANUFACTURED STRUCTURE ZONING SURCHARGE <br />MANUFACTURED STRUCTURE TURNPIKE O/W BUILDING INSPECTION <br />MANUFACTURED STRUCTURE TURNPIKE O/W PUBLIC WORKS <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> $182.00 <br /> $20.00 <br /> $9.10 <br /> $15.00 <br /> $1.oo <br /> $16~00 <br /> <br />$24~,10 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT <br /> <br /> RECEIVED BY: PM ................................. TYPE: CHECK ~: 0 <br /> <br /> · * THIS IS A VALID PERMIT ** THIS PERMIT FEE COVERS ONE INSPECTION AND ONE <br /> REINSPECTION. ALL BLOCKING, STAIR INSTALLATION, PLUNSING~ MECHANICAL. ANO ELECTRICAL <br /> CONNECTIONS ARE REQUIRED TO BE COHPLETED UPON REQUEST FOR THE FIRST INSPECTION. IF <br /> ANY OF THE [TENS ARE INCOMPLETE, AN RDO[TIOMAL iNSPECTION FEE WILL BE REQUIRED. <br /> PERHIT IS VALID FOR SiX MONTHS ONLY. RENEWED FOR 6 MONTHS UPON WRITTEN REQUEST FOR <br /> AN EXTENSION, PRIOR TO THE EXPIRATION OATE OF THE PERMIT. iF CONSTRUCTION FAILS <br /> NEET ALL REQUIREMENTS OF STATE LAWS ANO MARION COUNTY BUILDING AND ZONING ORDINANCES, <br />PLANNING ACTION: <br /> SETBACKS;FR 100 <br /> LS-'iO <br /> RS210 <br /> RR <br /> <br />REMARKS: MFS HOME & SEPTIC (THIS APPLICATION DOES NOT INCLUDE OARAGE) --?~Id fo,~ <br />DONALD E. WOODLEY, MARION COUNTY 8UILDINB OFFICIAl. / BY <br /> <br />OFFICE COPY <br /> <br /> <br />