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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: 888-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other__ , <br /> <br />CARl_ & RUBY HOFMANN ~ 61295-000 I RESIDENTIAL <br /> <br /> AUMSVILLE OR 97~25 I MARION COUNTY~ <br /> <br /> H41gUF'ACTORED STRUCTU~. 2 <br /> <br /> SITE NUMBER: 93-~2976 <br /> FHONE. 769-6757 VALUATION: <br />E~?i i~Ri TOWNSHI~ ~ ~ - RANGE: - ' ] ~N~: T. ............ ~A>': I <br /> <br />TYPE: MANUFACTURED STRUCTURE <br />CONTRACTOR. NO. <br />CARL & RUBt HOFMANN <br /> <br />PERMIT OR APPLICATION NO: 49481 <br /> <br />PHONE: 76~-6757 <br /> <br />ITEM <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTIUN <br />HANUFACTUREB STRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE ~TATE SURCHARGE <br />MANUFACTURE~ STRUCTURE Z~NING,$URCNARGE <br /> <br />PAYEE: <br /> <br />,TOTAL A~SESSE~ FEES <br />PREVIOUS' RECEIPTS <br />'fHIS~!E'CE:IPT <br /> <br />QUAHTITY AMOUNT <br /> $182~00 <br /> $20.00 <br /> $?.10 <br /> $15.00 <br /> <br />$226.:L0 <br />$226.10 <br /> $0.00 <br /> <br />$0.00 <br /> <br />RECEIPT <br /> <br /> RECEIVE~ BY: PB TYPE: CHECK ~: 0 <br /> <br /> ** THIS iS A VAL'r]) PERNIT **:THIS~'PERMIT.,.,F£E :'COVERS ONE INSPECTION AND ONE <br /> REINSPECTION. ALL BLOCKING, ~TRIi~ INSTALLi~TION..Pi~UNB:rNI;;, MECHANICAL. AND ELECTRICAL <br /> CONNECTTONS ARE REgUIRE]) TO ~E .COi'.IPLETE])U~0N REO[~F_.~T. FOR THE FIRST INSPECTION. ~F <br /> ANY OF THE 'rTEMS ARE ZNCOF~LET£."~ AD~,TTI'oNAL .]rNSPECTZON FEE W~LL BE REO~U~EJ). <br /> PERMIT 'rs VALID FOR SI'X HONTH~ ONLY.: 'RE[;IE~ED FOR:'6 HONTHS UPON I~R'rTTEN REOUEST FOR <br /> Afl EXTENS'rON. PRIOR TO THE EXPTRAT;EON..OATE .OR' THE: ~'ERNT.T.; TF CONSTRUCT[ON FA'rLS TO <br /> NEET ALL REgUZREMENTS OF .STATE Laths AND N~RION COUNTY BUZL]DZNg. AND ZONING ORO~NANCES~ <br />PLANNING ACTION,'. ' ,, <br /> · : ' SEIBACKS. FR 2{] <br /> LS-10 <br /> ' R8-10 <br /> RR'"200 <br /> sP'- .... <br /> REHARKS,~ NH HARDSHIP. ABANDONE SMALL CC TANK. TNSTALL NEW SYSTEM. <br /> <br /> DONALD E. WOOBLEY~ MARION CQONTY BUILDING QFEI~IAL / BY ..................... ~/~._ ............. S~ <br />~c ~-~ ~v, ~/~ OF FICE COPY <br /> <br /> <br />