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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 performing work on a property I own or occupy, <br />lam a registered builserOR( )theauthodzed representative <br />of a re:istered builder, <br />The work will be performed by 8 registered <br /> <br />SIGNATURE OF APPLICANT: <br /> DATE: <br /> <br /> DATE: 1~/11/93 <br />OWNER: <br /> <br /> AL.I_I,:;N, MICHAEL <br />SITUS ADDRESS: <br /> <br />TIME: 15:20:e6 <br /> <br /> 238 BELLEVUE DR -- <br />AUMSVILL, E OR 97325 <br /> <br /> TAX LOT: CATEGORY: <br /> RESIDENTTAL <br /> <br />, AUHSVI[.LE NO <br /> <br />LOT: <br /> <br />USE OF BUILDING; <br /> MANUFACTURED STRUCTURE <br />MAILIN~ ADDRESS: BU SDIVISION'. <br /> i MILL, CREEK, ESTATE~ <br /> ACENT: CRAIG LUCAS/$ANTIAM HOMES ~ <br /> 767-7744 SITE HUMBER: 93-83488 <br /> PHONE: VALUATION: <br /> <br /> BROOK: SECtiON: ' fOwN~hiPi ,, RANGE: ; ZONe: <br /> 5~ 84, 4~2e. SF <br /> <br />MAP: <br /> <br />. NO : NO <br /> <br />TYPE: HAHUFACTURED STRUCTURE PERMIT OR APPLICATION HO: <br />CONTRACTOR, NO. 38238 <br />Daniel L Carver <br />11~7~ Mill Creel Rd <br />Aumsville, 97~25-0080 <br />PHONE: 7~-7744 <br /> <br /> ITEM <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTURED STRUCTURE STATE FEE <br />MANOFACTURED STRUCTURE STATE SURCHARGE <br /> <br /> TOTAL ASSESSED FEES <br /> PRE¥IOUSRECEIPTS <br /> THIS RECEIPT <br /> BALANCE DUE <br /> <br />QUANTITY AMOUNT <br /> $182,00 <br /> $20.00 <br /> $9.18 <br /> <br />$211.10 <br />$211.10 <br /> $0.00 <br /> <br />$0.00 <br /> <br /> PAYEE: INVOICE <br /> ~EOEIVE~ BY: PB ................... ~ ............ TYPE:: CHECK ~: 0 <br /> ~t THIS 15 A VALID PERHIT Zg THIS.PERMIT FEE COVERS ONEINSPECTION AND ONE <br /> REINSPECTION. ALL BLOCKiN&,:STAIR INSTALLATION. PLUMBING, HECHANICAL. AND ELECTRICAL <br /> CONNECTIONS ARE REOUIRE~ TUBE COHPEETE~ OPONREg[IEST FOR: THE FIRST ZNSPECT~ON~ IF <br /> ANY OF THE ITEMS ARE IHCOMPLETE. ANA~ZTIONAE INSPECTiON:FEE ~ILL ~E REOUZRE~. <br /> PERNIT IS VALI~ FOR $~X NONTH$ OHLY. RENE~E~ FOR&MONTHS OPON ~R[TTEN REGUEST FOR <br /> AH EXTENSiON~ PRIOR TO THE EXPIE~TION~ATEOF THE PERHIT. IF CONSTRUCTION FAILS TO <br /> HEET ALL REaUIRENENTS OF STATE LA~S AN~ MARION COUNTYBUIL~iN§ AN~ ZSNZH¢ OR~INANCES~ <br />PLANNING ACTION: <br /> ~E'T'BACKS: FR 11 <br /> LB-15 <br /> RS"I5 <br /> <br /> SP~ .......... <br /> REMARKS: ~F6 NOME <br />~ONALD E. WOO~I..EY~ MARION COUNTY BUILDIN6 OFFICIAL / BY ~ <br /> <br /> <br />