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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 />l am a registered builder OR ( )theauthorizedrepresentatlve <br />of a registered builder, <br />The work will be performed by a CeSistered builder, <br />Othe¢ <br /> <br /> DATE: <br />i OWNER: <br />' SANTIAM HOMES <br /> <br />TIME: 15:17:37 .... <br /> TAX LOT: <br /> <br />80N~fRUCT~O~ fVPG: <br /> <br />CATEGORY: <br /> <br /> RESIDENTIAL <br />OCCUPANCY: <br /> <br /> R-~ <br />OCCUPANT LOAD; <br /> <br /> 211 BELLEVUE DR 81 ,'CbN~^d¥ CitY: <br /> AUMSVlLLE OR 97525 . AUMSVILLE i NO <br /> BUILDiNg; ' :NO OF <br />: MANUFAGTORE~ STRUCTURE 3 <br /> <br />: AGENT: CRAIG LUCAS <br /> PHONE: 7~-~44 VALUATION: <br /> <br />; 81 : <br />. 84 ~ 4~28. ' SF NO NO <br /> <br />TYPE: HANUFACTURED STRUCTURE <br />CONTRACTOR, NO. ~82~8 <br />Daniel L Carver <br />11373 Mill. Creek Rd <br />AuMsville, 97~2§-0000 <br />PHONE: 769-7744 <br /> <br />PERNIT OR APPLICATION NO: 58492 <br /> <br /> ITEM <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTURED STRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE STATE SURCHARGE <br /> <br /> TOTALASSESSED FEES <br />PREVIOUS RECEIP:T$ <br /> THIS RECEIPT <br /> BALANCE DUE <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $182.00 <br /> $20.00 <br /> $9.1~ <br /> <br />$211.10 <br />$2t1.10 <br /> $0.00 <br /> <br />$0.00 <br /> <br />PAYee: INVOICE <br />RECEIVED BY: PB TYPE: CHECK ~: 0 <br /> <br /> $~ THIS IS A VALID PERHIT $~:THIS PERNITFEECDVERS ONE INSPECTION AND ONE <br /> REIHSPECTIOH. ALL BLOCKINg, STAIRINSTALLATION. PLUNBING, MECHANICAL. AND ELECTRICAL <br /> CONNECTIONS ARE REgU[EEgTO~SE CDHPLETED UPON:REQUE~TFOR:THE FIRST INSPECTION. IF <br /> ANY OF THE ITEHS ARE ~NCOH~LETE. ANAgDITIONAL iNSPECTION FEE #ILL ~E REQUIRE~. <br /> PERfllT iS VALI~ FOR SIX HOHTHS ONLY. RENENEDFOR~ NONTHS UPON ~RITTEN REQUEST FOR <br /> AN EXTENSION. PRIOR TO THE:EXPIRATION'PATE OF~THEPERHIT, IF CONSTRUCTION FAILS TO <br /> MEET ALL REBUIREHENTS OFSTATE LA,SAND HARIONCOUI~rY BUILDING AND ZONZHO ORDiNAHCES~ <br />PLANNIN6 ACTION: <br /> <br /> SETBACKS: FR ll <br /> LS"'15 <br /> RS-l§ <br /> <br />DONAI..D En WOODL. EY, MARION CouIqTY BUILDING OFFICIAL / BY <br /> <br />FORM # MC 18-~6 REV, 4/90 <br /> <br />OFFICE COPY <br /> <br /> <br />