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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 />of a registered builder, <br /> <br />Other_ <br /> <br /> ~) AT E',', 10/12/9S TIME: <br /> SANTIAN HOMES <br /> <br />:t~× LOT~ <br /> <br />CATEGORY: <br /> RESIDENTIAL <br /> <br />SITUS ADDF/E~S; CSNS]'Ru~ibN ~YP~; ; dCCUPANCY: <br /> <br /> 218 ~ELLEVUE ~R <br /> AUHSVZLLE OR 97;25 A~M~LLE i NO ' <br /> <br />0~E OF ~UiLDIN~; <br /> ~NUF~CTURE~ STRUCTURE <br /> <br /> H~LL CREEK EgT~'fE~ <br /> AGENT: CRAI6 LUCKS ' .................... <br /> <br /> PHONE: 7&9-7744 VALUATION: <br />~ 55 84: 4~28. ~F NO NO <br /> <br />TYPE: HAHUFACTURED STRUCTURE PERHIT OR APPLICATION HO: <br />CONTRACTOR~ NO. 382S8 <br />Dm~iel L Carver <br />1137S Mill Creek Rd <br />Au~mville, OR 97~2§-0000 <br />PHONE: 769-7744 <br /> <br /> ITE~ <br />MANUFACTURE~ STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTURED STRUCTURE STATE FEE <br />MANUFAOTURED STRUCTURE STATE SURCHARGE <br /> TOTAL ASSESSED FEES <br /> PRE¥IOUS RECEIPTS <br /> THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> $182.00 <br /> $20.00 <br /> <br />$211,10 <br />$211.10 <br /> $0,00 <br /> <br />BALANCE:~UE $0.00 <br /> <br /> PAYEE: INVOICE <br /> RECEIVED BY: PB .............. ...... .; ................. TYPE: CHECK ~: 0 <br /> <br /> ~$ THIS IS A VALID PERNIT **THIS PERNZT FEE COVERS OWE INSPECI~ION AND ONE <br /> REINSPECTION. ALL ~LOCK~N~ STAIR INSTALLATION~ PLUN~N~E HECHANICAL. RH~ £L£CYRIC~L <br /> COHNECTIOHS ARE REOUIREDTO BE CONPLETEDUPON:RESUEST FOR.THE FIRST INSPECTIOH. IF <br /> AHY OF THE ZTEHS ARE ZNCOHPLETE. AHADD]TZONAL INSPECTION FEE HILL ~E REQUIRED. <br /> PERH]T IS VALID FOR SIX NONTHSOHLY. RENE~EDFOR6NOHTHS UPON ~RITTEH REOUEST FOR <br /> ~N E×TEHSZOH. PRIOR TO THE:EXPIRAT~ONDATE OFTHE:'PER~IT, IF COHSTRUCT~ON FOILS TO <br /> HEET ALL REQUIREHEHTS OF STATE LCdaSAHDNAR!OHCOUHTY~UILDIH~ AND ZONING ORDINAHCES~ <br />PLANNIN~ ACTION: SETDACKS: FR ~Z <br /> LS-~5 <br /> RS-15 <br /> RR-10 <br /> sP'£ .... <br />REMARKS: MF6 HOME <br />~ONAI,.9 E. WOQbLEY~ MARION COUNTY BUILDING OFFICIAL / BY ................... ~ ............ <br /> <br />" OFFICE COPY <br />FORM # MC 15-56 REV, 4/90 <br /> <br /> <br />