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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 - 4:90 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> am performln0 WOrK on a property I own or occupy. <br />am a registered buirder OR the authorized representative <br />of a registered builder, ~ . <br />The work will be perfo,m~d by 8 registered builder, <br />Other. <br /> <br />OWNER: , TAX LOT; CATEC~ORY~ <br /> MILL CREEK ESTATES (MN PARK) RESIDENT];AL <br /> <br />; AUMSVILLE~5 ASPEN 9R OR ~7~25SE 8~ ~ AUM~ILLE NO ' <br /> HANUFACTUREB STRUCTURE S <br /> <br /> MILL CBEEK ESTATES <br /> 9725 MILL CREEK RD SE <br /> AUMSV~LLE~ OR ~7~25 SITE HUHBER: 9~-83524 <br /> PNONE." ~-~586 VALUATION: <br /> <br />:LOT; SPOON; SEC¥1ON; TOWNSHIP; :'~E'; ;'~; 'MAP: <br /> : 24 8S 2W i 51 <br /> 55 ~ 78: 429~ , NO i NO <br /> <br /> TYPE: ~ANQ~ACT~REB STR~CT~RE PER~IT OR APPLICATION NO: 58598 <br /> 6SNTRAOTOR~ NO. ~8238 <br /> Daniel L. Carver <br /> 11~7] Mill Creek Rd <br /> AuMsville~ ~?~25-~000 <br /> PMONE: 7~-7744 <br /> <br /> ITEM QUANTITY AMOUNT <br /> MANUFACTURED STRUCTURE PLACEMENT/CONNECTION $182.08 <br /> MANUFACTURED STRUCTURE STATE FEE $28.80 <br /> MANUFACTURED STRUCTURE STATE SUREI-IARGE $~.I~ <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br /> ,> <br />$.11.10 <br />$226.10 <br />-$15.88 <br /> <br />BALAMCE ~UE $0,00 <br /> INVOICE 5~078 <br /> <br /> PAYEE: Del McCormick <br /> RECEIVED BY: PB .......... 2,2=%Z_ ................. TYPE: IN CHECK $: 0 <br /> <br /> ~ THIS IS A VALID P£RNIT ONEIHSPECTION AND ONE <br /> REZNSPECTiON. ALLBLOCK~NG, STaIR:INSTALLAtION. PLUMBING, NECHANZCAL~ aNO ELECTRICAL <br /> CONNECTION~ ARE RE9UIREDTO 8E CONPL£TED'UPON'REgUE~TFOR THE F~RST ~MgPECT~ON. IF <br /> ANY DF THE ~TEMS ARE IHCONPLETE~ AHADD~TIONAL INSPECTION FEE ~ILL 8E REDUIRED~ <br /> PERN~T ~$ VAL10 FOR SIX HONTH$ ONLY. RENE~ED FOR 6MONTHS UPON ~ITTEN REQUEST FOR <br /> AN EXTENSION. PRIOR TO THEEXPIRRT~ON OATE:OF THE PERMIT. ~F CONSTRUCTION FA~LS TO <br /> HEET ALL REOUIRENENTS OF STATELAMS A~D HARMON COUNTYSUILDIMG AND ZONING OROINA~CES~ <br />F'LANNING ACTION:: <br /> SETBACKS: FR 11 <br /> LS-15 <br /> RS-15 <br /> RR-10 <br /> sPZ .... <br /> REHARKS: HFS HOME <br /> DONALD E. WOODLEY, MARIOM COUNTY BUILDING OFFICIAL / BY .............. ~ <br /> <br /> OFFICE COPY <br />FO~M # MS 1 $-~6 ~EV, 4/9o <br /> <br /> <br />