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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 ~m Dertorming work on a property I own or occupy <br />I am e registered buitder OR ( ) the authorized representative <br />of a registered builder, <br />The work will be performed by a registered builder. <br />Other <br /> <br />9ATE= 10/12/93 Ti:ME: 7:49:5? <br />SANTIAM HOMES <br /> <br />TAX LOT[ CATEGORY: <br /> , RES TI)El,IT IAL <br />CONSTRUCTION TYPE; o~CUPANC~z <br /> <br />AUMSVIL..E OR ;AUMSVI..E '°HO <br /> CONTRAd~CITY: <br /> <br />MANUFACTURED STRUCTURE <br /> <br /> MILL CREEK ESTATES <br />AGENT: CRAIG LUCAS - SANTIAM HOMES : <br /> SITE NUMBER: 93-8348~ <br />PNONE: 76?-7744 VALUATION: <br /> <br />iLG+: ~L, 0OR;' ' SECTION'. ;TOWNSHIP: RANGE: : ZONE: MAP: <br />, 54 1~8 ', 54~e, : SF NO NO <br /> <br />TYPE: MANUFACTURED STRUCTURE <br />CONTRACTOR~ NO. ~8238 <br />Daniel L Carver <br />11~7~ Mill Creek Rd <br />Aumsville~ <br />PHONE: 769-7744 <br /> <br />PERMIT OR APPLICATION <br /> <br />ITEM <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTURE~ STRUCTURE STATE FEE <br />NANUFACTUREQ STRUCTURE STATE SURCHARGE <br /> <br />TOTALASSESSEB FEES <br />PREVIOUSRECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $182.00 <br /> $20.00 <br /> $9.10 <br /> <br />$211.1~ <br />$211.10 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: INVOICE <br />RECEIVED BY: PB ............... ~_ ................. TYPE: CHECK ~,: 0 <br /> <br /> *$ THIS IS A VALI~ PERMIT **THIS PERMIT FEE COVERS ONE INSPECTION AND ONE <br /> REIHSPECTION. ALL BLOCKING, STAIR INSTALLATION, PLUMBIMG~ MECHANICAL. AND ELECTRICAL <br /> CONNECTIONS ARE REQUIRED TB ~E CSMPLETEDUPONRE~UEST FOR THE FIRST INSPECTION. iF <br /> ANY OF THE ITEMS ARE ~NCOMPLETE. ~M ADDITIGNALINSPECTION FEE ~ILL ~E REnU[REP. <br /> PERMIT IS VALID FOR SIX NONTHSONLY. REHEUED FOR6MOMTHS UPON ~RITTEN REOUEST FOR <br /> AN EXTENSION. PRIOR TO THE EXPIRATION DATE OFTHE PERMIT, IF CONSTRUCTION FA~LS TO <br /> MEET ALL REQUIREMENTS OF STATE LAWSANO MARION COUNTYBUILDING AND ZONINg ORDINANCES~ <br />PLANNIN~ ACTION: <br /> SETSACKS= FR <br /> LS-15 <br /> RS-t5 <br /> RR-10 <br /> sP: <br /> EEN~RKS: NP~ NOME <br /> <br /> DO¢I~I,,.~ E,, ~00~LEY~ NARION COUNTY BUILDING OFFICIAL / ~Y <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 R~'. 4/9O <br /> <br /> <br />