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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: 588-514'7 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I affl performing work on a property i own or oooupy. <br />~amareglsteredbullderOR( ) the authorized representative <br />of a registered builder, <br />The work will be derformed by a registered buiJder, <br />Other <br /> <br />this document, <br /> <br />SIGNATURE OF APPLICANT~ <br /> <br /> BATE: <br /> <br /> ROfCEI_LO, ROBERT & [;Ail_ 7~;~00-93~ ! RESIDENTIAL <br />'SITUS ADD~E~: CONS~rRuc¢I6N TYPE; : 68~UPA~8~; <br />i ~ <br /> 8734 SHAW SQUARE RD SE ~dTblTY: , U~: bCCUPANT LOAD; <br /> AUHSVILLE OR ~7725 ' MARION COUNTY: NO <br />'d~E OF ~dmgomNS,. ; i : ~o OF ~EO~OOMS <br /> MANUFACTURED STRUCTURE ~ <br /> <br /> : SITE NUHBER: ~-~2771 <br /> PHONE: 364-1~55 VALUATION: <br /> <br />.......................................... 14 ..................... 8.B .......................... W AR <br /> <br /> 179 I 1058 ~, .,.10542,.: SI-- NO NO <br /> <br />TYPE: NAHUFACTUREI) STRUCTURE PERfflT OR APPLICATION NO: <br />CONTRACTOR,~ 1,10. <br />Daniel Hore~'b <br />~,243 Suon~view Rd NE <br /> <br />PHONE: 585,-698~ <br /> <br /> ITEM <br />MANUFACTURED STRUCTDRE PL~CEMENT/COHNECT]:ON <br />~ANUFACTURED STRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE STATE SURCHARGE <br />MANUFACTURED STRUOTQRE ZONING SURCNAR~E <br /> TOTAL ASSESSED FEES <br /> · PREVIOUS RECEIPTS <br /> TH]:S"RECEIPT <br /> B~LANgE DOE <br /> <br />49896 <br /> <br />QUANTITY AMOUNT <br /> S182.00 <br /> $20.08 <br /> $9.18 <br /> $15.08 <br /> <br />$22&.10 <br />$226.10 <br /> ~e.00 <br /> <br /> PAYEE: RECEIPT <br /> RECEIVED BY: PB ............... ...;~ ....... ~= ....... 22:Z.~a2L_:' TYPF: CHECK ~: 0 <br /> ~ THIS TS A VALI]) PERHiT ~* THIS PERHIT FEE COVERS ONE INSPECTION AND ONE <br /> RE~NSPECT~ON, ~LL 9LOCK~NC~ STAIR INSTALLATION. PLUH~NC~ HECHANZCAL. ~N~ ELECTRiCaL <br /> CONNECTIONS ARE REOUIRE~: TO BE COHPLETE~:UPON REOU~T FOR THE FIRST INSPECTION. <br /> ANY 8F THE ITEHS ~EE INCOHPLETE. AN ~DIT~ON~L INS~CTION FEE WILL BE EEOUIAE~= <br /> PERHIT IS VALI~ FOR SIX HONTHS ONLY. RENE~E~ FOR 6 HONTHS UPON ~RiTTEH REQUEST FOR <br /> ~N EXTENSION, PRZBR TO THE EXPIRATION 9RTE ~F THE ~RH~T, ~F CONSTRUCTION F~LS <br /> HEET ~LL RE~B~REHENTS OF STATE LA~S ~ND H~R~ON COU~Y ~U~LDZNC AN~ ZgN~NG <br /> PLANNIN6 ACTION: <br /> SETBACKS:FR <br /> LS""18 <br /> <br /> SP'"' <br /> RL.HAI,KS.~.,~ HI).~HI ,~ AUTII PF,.9 1 ~3. OKAY lO USE EXT SYS ON A TRIAL BASIS <br /> HARD,>H'.[F (~OI?IELT:[O~,, S~ALL~ OL~ SYSTEM. <br /> Z}ON~,,..D E. WOODLEY~ N~RZON COUIITY ~UIL.~:IIG OFFZCIAL / ~Y <br /> <br /> OFFICE COPY <br />FORM ~1 MO 15-58 REV. 4~ <br /> <br /> <br />