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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 /> 'X'~ER DAle. 18/,l. 1/~2 TIME:..1.5:.08:.41 CATEGORY: <br />0 : TAX LOT'. <br /> <br /> MARTINO, SAVERIO ' RESTDENTIAL <br /> SITUS ADDRESs: CONSTRUCTION TYPe; OCCL,~PANcY: <br /> <br /> 2~ ~ELLEVUE DR ~4 : CONTRACT CITY: UGB: OCOUPANT <br /> AUMOVILLE OR 97~25 , AUMSVILLE ~ NO <br /> <br /> MANUFACTURED STRUCTURE <br /> <br /> AGENT: CRAIG LUCAS-SANI'IAM HOMED <br /> PHONE: ~2~-~5~1 VALUATION: <br /> <br /> 55 84 ~ 4~2~. SF ~ NO NO <br /> <br />TYPE: HANUFACTURED STRUCTURE <br />CONTRACTOR, NOn 28228 <br />Daniel L Carver <br />11372 Mill, Creek Rd <br />Au~sville. 97325-8800 <br />PHONE: 76~--7744 <br /> <br />PERNIT OR APPLICATION NO: 5~477 <br /> <br /> ITEM <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTURED STRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DHE <br /> <br />REMARKS: MF6 HOME <br />DONALD E. WOODLEY, <br /> <br />QUANTITY AMOUNT <br /> $182.00 <br /> $20.80 <br /> $9.10 <br /> <br /> $211~10 <br /> $211.18 <br /> $0.00 <br /> <br />$0.00 <br /> <br /> PAYEE: INVOICE <br /> RECEIVED BY: PB .................................. TYPE: CHECK ~: 0 <br /> <br /> *~ THIS IS A VALID PERNIT **,THIS PERHIT FEE COVERS ONE INSPECTION AND ONE <br /> REINSPECTION. ALL BLOCKZNC~ STAIR' INSTALLATION. PLLiHSING, NECflANICAL. AND ELECTRICAL <br /> CONNECTIONS ARE REQUIRED TO SE COHPLETE~.UPON REOUEST. FOR THE FIRST INSPECTION. IF <br /> ANY OF THE ITEHS ARE THCOHPLETE. AN ADDITIONAL ~NSPECTION FEE WILL BE REOUIRE~. <br /> PERHIT IS VALID FOR SIX NONTHS ONLY.. RENEWED FOR 6 NONTHS UPON #RZTTEN REOUEST FOR <br /> AN EXTENSION. PRIOR TO THE EXPIRATION DATE OF THE PERHIT. IF COHSTRUCTION FAILS TO <br /> HEET ALL REOOIRENENTS OF STATE L~S AND NARION COUNTY SUZLDIN§ AHD ZOHiNG ORDINAHCES~ <br />PLRNNZNG ACTION: <br /> SETBACKS: FR 11 <br /> <br /> RS-iS <br /> RR-i~ <br /> <br /> ~ARIOH COUNTY BUILDING OFFICIAL / BY ............... <br /> <br />FORM # MC 15-56 REV, 4/90 <br /> <br />OFFICE COPY <br /> <br /> <br />