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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:$0 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> am performing work on a property ] own or occupy, <br /> <br />The work will be pedormed by a registered builder, <br /> <br />................I)ATE: 03/2'S/93 Ti'HE= 7:45=48 , ................................ <br /> <br /> 17687 C~SE ~D q¢ ~ L ....................... J <br /> <br /> ~URORA~ OR ~2 ~ ~ SITE NUN~ER: <br /> <br /> ; ~ ~4 ; 4S , ~W , EFU 9 i <br /> ~u. ~o ~C NO NO <br /> <br />TYPE= flAHUFACTURED STRUCTURE PERMIT DR APPLICATION <br />C, ONTF~AC.T. OR ~ NO,, <br />WILLI'ANSOI% IBOBERT & ELIZABETH <br /> <br />FNONE: 678"'~588 <br /> <br />ITEM <br />HANLIFAC, TURr. D STR,UCI-UR~ PLACENENT./CONI,iECTION <br />~ANUFACTURED STRUCTUr~E STATE FE'E <br />MANUEACTURED STF(UCTL~RE STATE SURCI-IARGE <br />MANUFACTURED STI~UCTURE ZONING SURCHARGE <br /> <br />TO;I'ALASSESSE~ FEES <br />PREVIOU~zRECE. ZPT~ <br />THIS RECEIPT <br /> <br />QUANT I TY AMOIJNT <br /> <br />$226.10 <br />$226.10 <br /> $8.00 <br /> <br />BALANCE DUE $0,,00 <br /> <br />PAYEE: RECEIPT <br /> <br /> RECEIVED BY: F'B TYPE: CHECK ~:: 0 <br /> ............ = ........ ===================================== ................................................................ <br /> *~ THIS IS A VALID PERHIT ~* THIS PERMIT FEE COVERS.ONE INSPECTION AND ONE <br /> REINSPECTION. ALL BLOCKINC, STAIR INSTALLATION, PUjIMBING, MECHANICAL~ AND ELECTRICAL <br /> CONNECTIONS ARE REQUIRED TO BE COMPLETED UPON REQUEST FOR THE FIRST iNSBECTID~. IF <br /> ANY OF THE ITEMS ARE INCOMPLETE, AN ADdiTIONAL INSPECT. ION FEE WILL BE REQUIRED. <br /> PERMIT IS VALID FOR SIX MONTHS ONLY, RENEWED FOR & MONTHS UPON WRITTEN REQUEST FOR <br /> AN EXTENSION, PR~OR TO THE EXPIRATION DATE OF THE PERMIT. IF CONSTRUCTION FAILS TO <br /> MEET ALL REQUIREMENTS DF'STATE LAWS AN~ MARION COUNYY BUILDING AN~ ZONING QR~INANCES~ <br />PLANN~HG ACTION: <br /> <br /> REMARIi[';: MPG HOME HAY BE .:.SX44-SAME $ BEDROOMs, <br /> :i.s for [:;[J 90.-.42 <br />I)O,AL..D E- WClOI)L,,EY~ MARION [,OLIIlIY BUILDING C~,FI.IAL / BY <br /> <br />OFFICE COPY <br /> <br /> Replacement' <br />_. ............................ ........................... <br /> <br /> <br />