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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 am performing work on a property I own or Occupy. <br />l am a registered builder OR ( )theauthorlzedrepreeemative <br />of a reDiStered builder. <br />The work will be performed by a registered builder, <br />Other~. <br /> <br />I have read and agree to the terms stated on tho reverse side of <br />this document. <br /> <br /> BATE: 10111/93 TIME: 15:11:45 <br /> <br /> SANTIAM HOMES <br />SiTus ADDRESS' CONSTRUCTION TYPE <br /> <br /> 323 ASPEN DR 57 CONTRACT CITY'. <br /> AUNSVILLE OR 97325 AUMSVILLE NO <br /> <br />'USE OF BUILDING'. <br /> MANUFACTURED 8TRSCTURE <br />MA~UNS ADORSSS: ' .............................. SU~51Vis~5~'. ....... <br /> <br /> . ~ I.L.L. _C.~ E.~K_._E.~Z.~'f E S <br /> ~GENT: CRAIG LUCKS <br /> SITE NUN~ER~ <br /> PHONE: 757-7744 VALUATION: <br /> <br />LOT. BLOCK: SECTION <br />57 <br /> <br /> 55 78 <br /> <br /> UNITS IRREG, LOT; ~ CORNER. <br />4298. SF NO NO <br /> <br /> RESIDENTIAL <br />~CCUPANCY <br /> <br />TYPE: MANUFACTURED STRUCTURE <br />CONTRACTOR, NO, 38238 <br />Daniel L Carver <br />11373 Mill Creek Rd <br />Aumsvi].le~ 97325-8800 <br />PHONE: 7d~-7744 <br /> <br />PERHIT OR APPLICATIOH NO: 5~48~ <br /> <br /> ITEM <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />MANOFACTUREB STRUCTURE STATE FEE <br />MANUFACTURE~ STRUCTURE STATE SURCHARGE <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $182,88 <br /> $2~.~0 <br /> <br />TOTAL ASSESSEB FEES $21:[.18 <br />PREVIOUS RECEIPTS $211.10 <br />THIS RECEIPT $0.00 <br /> <br />BALANCE DUE $8.80 <br /> <br />PAYee: INVOICE <br /> <br /> RECEIVE~ BY: PB ................................. TYPE: CHECK $: 0 <br /> <br /> ~ THIS IS A VALID PERMIT $$ THIS PERflIT FEE COVERS ONE iNSPECTION AN~ ONE <br /> REIHSPECTIDN. ALL BLOCKING, STAIR IHSTALLATION~ PLUHBINg, MECHANICAL. AND ELECTRICAL <br /> CONNECTIONS ARE REOUIRED TO BE COHPLETED ,UPOH REQUEST FOR THE FIRST INSPECTION. IF <br /> AHY OF THE ITEHS ARE IHCONPLETE. AH ADDITIONAL [NSPECTIOH FEE MILL SE EEOU[RED. <br /> PERHIT IS VALID FOR SIX MONTHS DHLY. REHEARD FOR & MONTHS UPON ~RITTEN REOUEST FOR <br /> AN EXTEHSION. PRIOR TO THE EXPIRATION DATE OF THE PERMIT. IF CONSTRUCTION FAILS TO <br /> NEET ALL REQUIREMENTS OF STATE LA#S AHD MARION COUNTY BUILDING AND ZSHZNG <br />PLANNING ACT~0N: <br /> SETBACKS:FR 11 <br /> LS-15 <br /> RR-10 <br /> <br /> REMARKS: MFG NOME ~., <br /> ~O~ALD E. WOOQLEY~ MARION COONTY BUILDING OFFICIAL / BY .................................. <br /> <br />FORM # MC 15-56 REV, <br /> <br />OFFICE COPY <br /> <br /> <br />