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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SAL~:M, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> of ~ registered builder, <br /> <br /> Other. <br /> <br /> DATE: 8~/27/9~ TIME:: 12 28 41 ~- / / <br />OWNER' L:[NEO,, TEl> Z~,.~:~a-e41 <br /> <br /> :l e2&2 [..EVERHAN R:O SE <br /> AUMSVILLE OR ~7~25 <br /> <br />SIGNATURE OF APPLICANT: <br /> CATE; <br /> <br />OCCUPANCY <br /> R,,-,,3 <br /> <br />OCCUPANT LOAD: <br /> <br />use o~ ~U~LO~NUFACTURE:D S'f'F,O£:"FURE <br /> <br />,~.,¢,0 MARKET S'Y FiE <br />SALEM OR 97301 <br />I::'HONE:'. 36,.--40 ?~ <br /> <br />SUBDIVISION; <br /> OINOR ES <br /> <br /> SITE NUMBER: 9:3-81811 <br /> VALUATION: <br /> <br />LOT: BLOCK: SECTION: <br /> 5 03 <br /> <br />WIDTH] DEPTkI: AREA: <br /> <br />TOWNSHIP; AANGE: ZONE: MAP: <br /> 80 1W AR 48 <br /> <br />TYPE: HANUFACTURED STRUCTURE <br />COI,ITRACTOR.~ NO,, <br /> <br />..... ~,.)0 MALl,El ST NE <br />SALEM OR 97~01 <br />f':'HBNE ~ 7~62-4~73 <br /> <br />PERMIT OR APPLICATION NO: 45970 <br /> <br /> ITEM <br />MANUFACTURED STRUC, TURE F'L. ACEMENT/CONNEC'FION <br />MANUF'AC'rtJRE:O STRLICTURE STATE. FEE <br />MANUFACTURED STRUCTURE STATE SUF(CEIAF;[;-E <br />HANUFAC'CURED STRUCTURE Z. ONIN(;, ,SURCHAF4GE <br /> <br />QUANT I'EY <br /> <br />A~OUN'¥' <br /> $t82,. 00 <br /> ~20,, QB <br /> $9.10 <br /> ~id. 5,, <br /> <br />TOTAL ASSESSED F'EES <br />F'I~:EVIOUS RIECI.E' I P TS <br />'FH :i:S F(ECEIF'T <br /> <br />$226, ;I, 0 <br />$ :l. r/) ,, 00 <br />$03.6.10 <br /> <br />BALANCE DUE $0,, 00 <br /> <br /> PAXEE: L. llqGO~ .'fEI)RECEI T .... <br /> I:~ECIEIVE:D BY: {.,L ............................................................................ 'FYI'E: 6K CHE:L';KF'~:, <br /> ~ THIS IS A VALI~ PERHIT ~ THIS PERMIT FEE COVERS ONE INSPECTION AND ONE <br /> REiHSPECTIOH. ALL BLOCKING, STAI~ INSTALLATION. PLUMBING. MECHAWZCAL. AND ELECTRICAL <br /> CONNECTIONS ARE REQUIRE~ TO BE COMPLETER UPON REQU~T FOR THE FIRST I~SPECTION. IF <br /> A~Y Or THE ITEMS ARE INCOMPLETE, AN A~TIONAL INSPECTION FEE WILL BE REQUIEED. <br /> PER~IT IS VALI~ FOR SIX ~ONT~S OHLY. RENEWE9 FOR 6 ~QNTHS UPON WRITfEN REQUEST FOR <br /> AH EXTENSION. PRIOR TO THE EXPIRATION DATE OF THE PERH~?. IF CONSTRUCTION FAILS TO <br /> MEET ALL REQUIRE~EHT~ OF ~TATE LAW~ AND MARION COU~Y BUILDING AND ZONING <br />E'L. ANN]]qG ACTION~ <br /> SETBACKS: F'R <br /> L,S'"iB <br /> RR"-38 <br /> 5p- <br /> REMARKO: Ho/S3. 3TANLARD ORIGINAL Alii) SANI) F]:LTER REFLA[,EMEN'Y' SYS~:~,HA:f,k'l~Ai'~'"'~ <br /> SEPTERATZON BETWEEN ALL ACCRSSORY BU:~LD:[NGS Al,ID HI:'~] HOME~ / /) <br /> DONALD E. NOODLE'.Y, HAR:[ON COUhI"FY E~UILI)II.iG OE'F]:CZAL / BY ............................ ~ .......... <br /> <br /> OFFICE COPY <br />FORM # MC 1 t~-56 REV, 4:9o <br /> <br /> <br />