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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 />,-.S ]: NOR ESTATES <br /> <br /> SITE NUMBER: <br /> V~LdAI iON,, <br /> <br />]25 SS2: 4].$¢~ : Si; I t' NO <br /> <br />TYPE: MANUFACTURE]) STRUCTURE <br /> <br />~8~ER,~ RD hF:,l_.5 <br />5:I. 25 ¢~UEq. JI:U~ K'D NE <br />S~LIEH <br />F'HONE¢ ;'~ 67'-'-%775 <br /> <br />PER~IT OR APPLICATION MO: 47718 <br /> <br /> ITEM <br />!4Ai,iUF~C-ruRED S'I'RUC'T!]RE I::'LACEMEhlT/CO?,!N;~iCTiDq <br />~4ANUFACTURED STRUCTURE ST,qTE FEE <br />PIAr~UEAC'~'tJFfiED S'FRtJC'f'URIE STA'?'E SIJRCi,4A~:(Cd~; <br /> <br />TOTAL A ...... ~o~_:O FBE,:~ <br /> <br />'r,, ,~'", .~, .,,, F' R E C E ;r. p 1' <br /> <br /> $* THIS tS A VALI]~ PERMIT :~ THIS PER,MIT FEE COVERS ONE INSPECTION AND ONE <br /> REINSPECT!ON. ALL BL.OCK'CN~ ST,A,I~ INSTALLATION~ PLU~SING~ ~ECHANICAL~ AN~ ELECTRICAL <br /> CONNECTIONS ARE REQU~RE~ TO BE COMPLETED UPON REQUEST FOR THE FIRST INSPECTION. IF <br /> ANY oF THE ~TEMS ARE INCONPLETE~ AN ADQ~TIONAL INSPECTION FEE WILL BE REQUIRE~. <br /> PER~IT tS VALID FOR SIX MONTHS ONLY, R=NEWE~ FOR 6 MONTHS UPON WRITTEN REQUEST FOR <br /> A~ EXTEWSIOH~ P~IOR TO THE EXPIRATION DATE OF THE PERMIT. IF CONSTRUCTION FALLS TO <br /> MEET ALL REQUIREMENTS OF STATE LAWS AN~ MARION ~OUNTY BUILBING AND ZONING ORDINA~ES~ <br /> <br /> SE'I'~4ACI~S= t;'R 2~ <br /> Lssie <br /> RS 1 ~ <br /> <br /> ~ S F' "" ~ <br /> iJ_~Ak~...':' :"'"'= hMbS,' ..... STAIq~ARO ca~ ........ ~f,;f,~-'~ VIA E?FLUEYI' PLliq:;' TO SOUTH PART OF LOT, .' ......... ~ <br />........... FJ.,D,.,,.¢, ~%R;iTON COL}NTY ~;LJ]:LDS~i~ (]]:F':~:CZ~L / ~S~Y ...................................................................... <br /> <br />FORM # MC '~-~8 REV, 4/~0 OFFICE COPY <br /> <br /> <br />