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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 S:O0 - <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> am performing work on Et property I own Or OCOt~py, <br />am a roglstered builder OR ) the authorized representative <br />of a registered builder. <br />The work wilJ be performed by a regiAtered builder. <br />Other_ <br /> <br />have read and agree to the terms stated on the reverse side of <br /> <br />SL~NATURF. OF ARPI_ICANT: <br /> CATE; <br /> <br /> ~)A'¥E: 09/23193 TIML,,~ 12;42:4;L <br />OWNER: TAX LOT: CATEGORY~ <br /> ~ORK.~ ALAN & PATRICZ~ REOIDENTIAL <br />SIYUS ADDHbSS: · ~ 088uPANcY: <br /> <br /> 1~4~8 WISEACRES LN NE ;'EC~'~I~ ~"08~ ',OCCUPANT LOAD: <br /> AURORA , OR ~7882 ' ~ARION COUNTY: NO <br /> <br /> HANUI-- ACTURE~ STRUCTURE ' 3 <br /> ~ISE~EBES <br /> <br /> F'NDIqE~ 878-2174 VALUATION: <br /> <br />TYPE: MANUFACTURED STRUCTURE PERMIT OR APPLICATION NOt 49968 <br />CONTRACTOR,~ HO.. ~82~8 <br />Daniel L Carver <br />1177~ Hill Creek Rd <br />Au,~sviIle~ <br />PHONE: 789--7744 <br /> <br /> ITEM QUAN'flTY ANOUN'f <br />HANUPACTURE~ STRUCTORE ~ LACEHENT/CONNECTZON $182. <br />MANUFACTURE~ STRUCTURE STATE FEE , <br />HANUF'ACTURED STRUCTURE STATE SURCHARGE $9. <br />HANUFACTURE~ STRUCTURE ZONING SURCHARGE <br /> TOTAE: ASSESSE~ FREE <br /> PREVIOUS RECEIPTS $226~ <br /> THIS RECEIPT ~0., <br /> <br />PAYEE. ~- I~ : : RECElO~ <br />RECE VE BY: NB CHECK ~: <br />· * THZ~ IS A VALI9 PERHIT ~* TH[S;PEBH~:~;::FEE:c8VEES DNE INSPEgT[ON AND ONE <br />REZNSPECTZOH. ALL ~LOCKZH6~:: STAIR [NSTRLE~T[ON~ PL~HB[NG~ MECHANICAL. AND ELECTRICAL <br />COHHECTZ~HS ARE REGUIEE~ TO ~E COMPLETE9 UPON ::EEGUE8T FOR THE FIRST [RSPECT~OH. IF <br />ANY DF THE [TEHS ~RE INCOMPLETE. ~N ADDITiONaL INS~CT~BN FEE WILL ~E <br />PERHIT IS VALID FOR SIX MONTH~ ONLY. REN/~E~ F~R 6 MONTHS UPOH WEZTTEN REQUEST F~B <br />AN EXTENSION. PRZD~ TO THE EXP[R~TI8N D~TE 8F THE PERH~T. IF COHSTEUgTIOH F~ILS TO <br />MEET ALL REQUIREMENTS OF STATE LAWS AND ~AEION COUNTY ~UILDIN~ AND ZONING 8RDIN~NCES~ <br /> <br />PI..,AHNING ACTIOH: <br /> <br /> EEHA1,KS. M~.~/,.,,~,.DOEoHT NEED AUTH PER LEE ~/~¢/9,~ <br /> <br />DONALD iii:. WOODi_EY, MARION CO01,1TY BUILDIIqE- OFFICIAL / BY <br /> <br />~SETBACKS,., FR 12,5 <br /> L.S-40 <br /> RS'"'60 <br /> RR'"'200 <br /> <br /> OFFICE COPY <br />FORM # MC 1 $-56 REV, 4/90 <br /> <br /> <br />