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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 />this document. <br /> <br /> DATE: ' "~'~/9~ - -. o....' <br /> 0~/~ ~ Iti~E. 1~..01...1.6 <br /> <br /> L. EI"IHER ~ GENE ,~ES i I)F.':IqT I AL, <br /> <br /> AURORA OR 978~2 MARION COUNTY NO <br /> MANUFACTURED STRUCTURE <br /> <br /> PNOHE: 981,-~;~89 NSG VALUAT:[ON: <br /> <br /> Ge ' 11~, 8688. ~ SF NO NO <br /> <br /> TYPE: MANUFACTUREI) STRUCTURE PERMIT OR APPLICATION NO.~ <br /> COh!'I'RACTOR. NO. 20799 <br /> MCNINNVILLE FACTORY HOMES INC <br /> 2050 S HWY 99 W <br /> MgM.[MMV I LLE,, 97.L8-6888 <br /> PHONE: 9&7-85~5 <br /> <br /> ITEM <br />HANUFACTURED STRUCTURE PLACEMENT/CONNECTIOH <br />HANUFACTURED STRUCTURE STATE FEE <br />HANUFACTURED STRUCTURE STATE SURCHARGE <br />MANUFACTURE9 STRUCTURE ZONING SURCHARGE <br /> <br /> TOTAl. ASSESSED FEES <br /> : PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> BALANCE ~UE <br /> <br />QUANTITY AMOUNT <br /> $182.00 <br /> $28.00 <br /> $9.10 <br /> $15.00 <br /> <br />$226.10 <br />$226.18 <br /> $0.00 <br /> <br />$8.00 <br /> <br /> R~CEIVED BY: PB ................... ~;~:__~.~ .......... ~. ZYPE. CHECK ~: 0 <br /> *$ THIS iS A VALID PERMIT ** THIS:PERMIT FEE COVERS ONE INSPECTION AND ONE <br /> REINSPECTION. ALL BLOCKING~STAIR IHSTALLATION. PLUNBING~ MECHANICAL. AND ELECTRICAL <br /> CONNECTIONS ARE REQUIRED TO DEZCONPLETED::UPONREQUESTFORTHE FIRST INSPECTION. IF <br /> ANY OF THE ITEMS ARE INCUMPLETE~:AN ADDI~IOHAL: INSPECTION FEE WILL BE REQUIRE~. <br />PERMIT IS VALID F~R SIX MONTHS ONLY, RENEWED FOR 6 MONTHS UPON WRITTEN REQUEST FOR <br />AN EXTENSION. PRIOR TO THE'EXPIRATION DATESFTHE PERMIT. iF CONSTRUCTION FAILS TO <br />MEET ALL REQUIREMENTS OF STATE LAWSAND MARION COUNTY BUILDING AND ZSHiN60RDINANCES~ <br />Pt..ANN:lNG ACTION: <br /> SEI'BA~KS: F~ 10 <br /> <br /> M,.MARI\ ..... N.r:; <br /> <br />I)O,qA'._D E., WOODLEY,¢ MARION COUNTY BUILDING OFFTCIAL / BY <br /> <br />OFFICE COPY <br /> <br />FORM # MO 15-56 REV, 4/90 <br /> <br />LS'"'5 <br />RS-5 <br />RR-17.5 <br />sP:: ......... <br /> <br /> <br />