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MARION COUNTY BUILDING INSPECTION <br />SENATOR SLDG. 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 />have read and agroo to the terms stated on the reverse side of <br />Ibis document <br /> <br /> DATE: i0/li/95 TIME: 14:49:57 <br />' OWNER; TAX LOT: CATEGORY'. <br /> : RESTDENTIAI. <br /> SANTIAH HOMES , : <br />{~ITUS AODRESS; ~ONSTRt~CTION ~P~: : OCCUPANCY: <br /> <br /> ' CONTRACT 61TYZ , <br /> 2~3 BELLEVUE ~R 82 0~: OCCUPANT L~AD: <br /> OR 97~25 . AUNSVILLE [ NO ~ <br /> NO 0¢ BEOROOMS~ <br /> <br /> AUMSVILLE <br />hJs~ o~ ~u~LoiNc; <br /> MANUFACTURED STRUCTURE <br /> <br /> MILL CREEK ESTATES <br /> AGENT: CRAIG LUCAS <br /> <br /> PHONE: 7&~-7744 VALUATION: <br /> <br />55 : 84 4620. i SF NO No <br /> <br />TYPE: HANUFACTURED STRUCTURE <br />CONTRACTOR~ NO. 38258 <br />Daniel L Carver <br />11373 Mill Creek Rd <br />Au~sville~ ~7325-~0~0 <br />PHONE: 7~-7744 <br /> <br />PERMIT OR APPLICATION NO: 5851& <br /> <br /> ITEM <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTURED STRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE STATE SURCHARGE <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $182.00 <br /> $20.80 <br /> <br /> TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br /> :BALANCE DUE~ <br /> <br />PAYEE: INVOICE <br />RECEIVED BY: PB ..................... _.___~..,_ ...... TYPE: CHECK ~: 0 <br /> <br />$211.10 <br />$211.18 <br /> $0.00 <br /> <br />$0.00 <br /> <br /> REMARKS: MFG HOME <br /> <br />DONALD ~. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> ~* THIO iS A VALID PERHIT *~ THIS PERNIT FEE COVERS ONE INOPECTION AND ONE <br /> RETNSPECTIOH. ALL BLOCKING, STAle INOTALLATION~ PLUNDING, NECHAHICAL. AND ELECTRICAL <br /> CONNECTIONS ARE REQUIRED TO BE CONPLETED :UPON REQUEST FOR THE FIRST INSPECTION. IF <br /> AHY OF THE ITEHS ARE IHCOHPLETE, AH ADDiTI~AL INSPECTION FEE WILL BE REQU~RE~. <br /> PERHiT IS VALID FOR SIX HOHTHS ONLY. REAMED FOR 6. HONTHS UPON ~RITTEN REQUEST FOR <br /> AH EXTENSION. PRIOR TG THE EXPIRATION DATE: OF: THE ~RHZT. ~F CONSTRUCTION FA~LS TO <br /> HEET ALL REQUIREHENT5 OF STATE LAMS AND HARMON COU~Y BUiLDiNG AND ZONING ORD~NANCES~ <br />PLANNING <br /> SET~CKS: FR 11 <br /> LO-15 <br /> RS-Z5 <br /> <br /> sP: _ _ _ <br /> <br /> OFFICE COPY <br />FORM # MC 1~,56 REV. 4/90 <br /> <br /> <br />