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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLBG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: G88-8147 8:00 - 4:$0 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am a registered builder OR ( } the authorized representative <br />of & registered builder, <br />The work wilt be performed by a registered builder. <br /> <br /> 1~4~5 BUT'rEVILLE R~ NE ~ , <br /> <br /> SAME <br /> <br />: F'HONE: 678F27&~ <br />'~0~: : BROCK'. Fs~f 0~ ~TOWNSNIP: ! RANGC; ~ ZONE ~ MAP: <br />' ~ ~ ; I ~ , <br /> ' ] L <br /> <br />TYPE: flAHUFACTURED STRUCTURE <br />CONTRACTOR, NO. <br />BRENTANO,~ GREGORY & DEBORAH <br />SAME <br /> <br />F'HONE.: 878-2761 <br /> <br /> ITEM <br />MANUFACTURED STRUCTURE ZONING SURCHARGE <br />MANUFACTUREO STRUCTURE STORAGE PERMIT: <br />HANUFACTURE9 STRUCTURE RENEWAL STORAGE <br /> <br />PAYEE: <br /> <br />PERMIT OR APPLICATION NO: 46&17 <br /> <br />l'O'rAL ASSESSE~ FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> <br /> $25.00 <br /> $25.00 <br /> <br />$85.00 <br /> $0.00 <br /> <br />BAI.ANCE I)OE $0,00 <br /> <br />RECEIPT <br /> <br /> RECEIVED BY: LD ' ',=- ' <br /> ........................................... FYFE,~ CHECK ~: 0 <br /> <br /> · ~ THIS IS A VALID PERHIT ** THISPER~IT FEE COVERS ONE INSPECTION AN9 ONE <br /> REINSPECTION. ALL BLOCKING, STAIR INSTALLATION. PLUMBINg, ~ECNAfllCAL. AND ELECTRICAL <br /> CONNECTIONS ARE REQUIRER TORE COMPLETER UPON REQUEST FOR THE FIRST iRSPECTION. IF <br /> ANY OF THE ITEHS ARE INCONPLETE. AN A99ITIONAL INSPECTION FEE WILE BE <br /> PERMIT IS VALIB FOR SIX NONTNS ONLY. RENEWEO FOR 6NONTNS UPON WRITTEN REQUEST FOR <br /> AFl EXTENSION, PRIOR TO THE EXPIRATION BATE OF THE PERNIT. IF CONSTRUCTION FALLS TO <br /> MEET ALL REQOIRENENTS OF STATE LAWS AN9 HARION COUNTY BUILBING AN~ ZONING UR~INANCES~ <br />PLANNIN~ ACTIONn <br /> .~EIBACKo,,FR <br /> L$-10 <br /> <br /> RR-30 <br /> SP <br /> I~.ftAMx,~. MS;: FOR TEMPORARY STORAGE ONLY. NO LAND OSE APPROVAL FOR A SECOND ~E[LING. OWIT <br /> NOT-FO BE OCCUPIED. <br /> ~)ONAI,..~) E,, WO(/DLEY,, MAk.[ON COUNTY Bt.J:I;LDIN~ O~i:.~6,I. AL / BY ......................................................................................... <br /> <br />FORM # MC 15.5~ REV, 4/~0 OF FICE COPY <br /> <br /> <br />