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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 /> I am performing work on a property I own or occupy, <br /> lama registered builder OR( )theauthor]zed representative SIGNATURE OF APPLCANT <br /> of a registered builder, <br /> The work w'dl be perforrned by a registered builder. <br /> Other <br /> I have read and ag eeo he terms stated on the re¥erse side 0¢ DATE; <br /> this document. <br /> <br />OWNER; TAX LOT'. <br /> HII..I,,..?,~ HAROLD & YVONNE 6788~.-89¢8 <br /> <br />SITUS ADDRESS: C~NSTRUCTION TYPE; <br /> <br /> REf:i £ DENT I AL <br />OCCUPANCY: <br /> <br />11.4 ¢.40~ 4. <br /> <br />CORNER: <br /> <br /> NO <br /> <br /> :L95 GUYHOORE DR 80~fnAd? ch'Y; <br />DE, i RO.I. f OR ~7Z42 DEI'I~[;IIT NO <br /> <br />HAHUFACTURED ( ...... <br /> ,.~ f I~UL1 URE 3 <br /> <br /> MACKEY CREEl< TRACT 4 <br />PO ~OX 465 <br />DETRO:[T OR 97342 SITE NU~BER= <br />PHONE~ 854-,.3441 VAI,,UA lION: <br /> <br />211 SF <br /> <br />TYPE= MANUFACTURED STRUCTURE <br />LOI, IIkACTOR., biO.. 4;~:465 <br />ROBM.¢f bR F,,r~,:.I;,Y <br />ii. 4262 © <br /> .~,, MAPLE ~RO'VE <br />MOLAL LA.. ¢70~8 <br />PHONE: <br /> <br />PER~IT OR APPLICATION NO: 45~97 <br /> <br />M~NUFA,CTURED STRUCTURE PLAgE~ENT/6ONNEgTION <br />M~IqOFACTUI~ED STRUCTURE STATE FEE <br />HANUF~£TIJI~ED STRUCTURE' ST~'fE ,¢.'~URC, HAI:~gE <br /> <br />TOTAl. ASolF,,~,vE.D FEES <br />PREVIOUS RE[,EIPIS <br />THIS f4ECEIPT <br /> <br />!~. AL_ANEE [)LIE <br /> <br /> PAYEI?7= <br /> F(ECEIVEI) BY:; PB TYPE: <br /> *~ THIS ~S A VALID PERMIT ~ THIB PER~IT FEE COVE~ ONE INSPECTION AND ONE <br /> REINSPECTION. ALL BLOCKIHg~ STAIR IHSTALLATION~ PLUHBING~ NECHAH~CAE. Afl~ ELECTRICAL <br /> CONNECTIONS ARE REQUIREB TO BE COHPLETEB UPON REQU~T FOE THE FIRBT IRSPECTIOH. IF <br /> ANY OF THE ~TE~S ARE INCOMPEETE. AN ADDITIONAL INSPECTION FEE W~E[ BE EEQUIREB. <br /> PERMIT IS VALI9 FOR SiX HONTH~ ONLY. REHEWE~ FOR ~ MONTHS UPON WRITTEN ~EQUEST FOR <br /> AN EXTENSION. PRIOR TO THE EXPIRATION ~ATE OF THE ~RMiT. IF CONSTRUCTION FALLS TO <br /> MEET ALL REQUIREMENTS OF STATE LAWS AN~ MARION COUNTY BUILBIN~ AH9 ZONINg QRBINANCES, <br />F'I, ANN]'H6 ACTION: <br /> SE'I'B~CKS~ FR <br /> <br /> RS <br /> <br /> M:.NAI,k .... MAHtJI:,, HOME' & AU H I,lO VISIT NECESSARY.. REPLACEMEI,[I IN KIND.. ' ....... <br /> <br /> DONALD ':' WOODLEY.¢ MARION COUNTY BUI:I_DIH60FFICIAt / BY <br /> <br />OFFICE COPY <br /> <br /> <br />