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MARION COUNTY <br /> BUILDING INSPECTION <br />Se~mtOr Bu[tding * 220 Hi. gh Street NE · Second Floor · Sa[em, Oregon 97301-3670 <br />Office lqours: 8:00.4:30 Phone: 588-,5147 24 Hour Code-A-Phone: 588-7904 <br /> <br />ION REOUEST <br /> <br />Site rll,mber: 9r,~---00:[50 <br />Type conet~ <br /> <br /> Ac t':ivitT: N~[W <br /> <br /> Peru~xi.t type: Maru,/fal:tured Structu Received by: ld Route: JC <br />Irlsp~?ct'iorl type: Blockir!.g Dote l"ee:: 06/22/9~ Inspect on: ~6/25/9S <br /> Connec'~iorm 'ripm rec: '.[5:55~2 <br /> Zonirlo (Setbacks) Energy Path',', <br /> Per'l,d.t :~:: 44598 Set'backs I:'R: <br /> Category: RESIDENTIAl,,, LS',: 18 <br /> Descr'iption: MANUFACTURED STRUCTURE RS: <br /> Issue D~te: 81/13/93 <br /> SP: <br /> <br /> address: 11982 13'TEZIZIqKAMP R3 SE Cross Street: ANDERSOH RD <br /> AUMSV]]..J_E OR 9732~5 <br /> <br /> Contr;¢~;tor: F'hane: <br />S(::ope of Pet'olJ,'(: }qt.u,iber <br />~&l,lt.tF'~r:;'l't. JRl~,;[) STRUC, TURE PL~CEgEN~/CONNEC'flOI,I <br />Perp~it requ:i, rep~e~ts~ MFG HO~E & SEPTIC (THIS APPLICATION DOES NO]' INCLUDE <br /> GARAGE) Hold for F'79-154 <br />Co}~v~err~:s: CUSTOMER HAS BEE~q LIVIN[; IN ~H AND HAS POWER <br />Last requested i~'l~spec~YioD: <br /> <br /> INSPECTION REPORT <br />Iv~specte~ t7,, , .................................. <br /> <br /> <br />