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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO, 225
<br />220 HiGH STREET NE
<br /> SALEM, ORt=GON 97301
<br />
<br /> PHONE: 588-5147 8:00 - 4:30
<br /> 24 HOUR CODE-A-PHONE: 588-7904
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<br />I am a registered builder OR ( ) the authorized representative
<br />ota registered builder,
<br />
<br />Other
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<br /> DALE,, J.:l./r~8/?,% , IME,, :.5; I6.07
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<br />1~679 ~T~YTON RD SE
<br />~u&~u~ ADD~UFhCTLiRED S'rRUC
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<br /> SAHE
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<br /> LOT ~ B~OCK SECT ON
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<br /> 1 ,. :t4 RL; N0
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<br />TYPE: MANUFACTURED STRUCTURE
<br />CONTRACTOR,, NO,,
<br />HCLAUGHLAN~ ROBERT
<br />SAME
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<br />RI"~OI,IE: 769-31,~4
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<br />PERMIT OR APPLICATION NO: 49715
<br />
<br /> t
<br />MANUF'ACTUREI) STRUCTURE PLACEMEI,;T/CONNECI'TON
<br />MANUF'ACTURED STRUCTURE STATE FEE
<br />MANUFACTURED S. TRUCTURE STATE SURCHARGE
<br />MAI,IUFAOTUREB STRUCTURE ZON:[N6 SURI...HARGE
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<br />FAYEE,,
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<br /> IOTAL AoSESSED F[ES
<br /> PREVIOUS "RECEIPTS
<br />- THiS. RECEIPT
<br />
<br />QIJANTII'Y
<br />
<br />RECEIPT
<br />
<br />AMOUNT
<br /> ~182.00
<br />
<br /> $~,,J. 0
<br /> $15.00
<br />
<br />$226.10
<br />$226.10
<br /> se.he
<br />
<br />$0.00
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<br /> RECE]:VE~ BY: PB TYPE: CHECK =~: 0
<br /> ;~;~ THiS I$ A VALID PERMIT ~,~,TNiS 'PERMIT FEE COVERS ONE INSPECTION AND ONE
<br /> REINSPECTION. ALL BLOCKING, ,STAIR :INSTALLATION¢ PEUMBiNG, MECHANICAL, AND ELECTRICAL
<br /> CONNECTIONS ARE REQUIRED TO BE CQHBLETED UPON ~DU~T FOR THE FIRST INSPECTION.
<br /> ANY OF THE ITEHS ARE INCOMPLETE, AM,ADDITIONAL ~Ns~cTIoN ~EE WILL BE REQUIRED.
<br /> PERMIT IS VALID FOR SIX MONTHS ONLY. RENEWE~,FOR & MONTHS UPON WRITTEN REQUEST FOR
<br /> AN EXTENSION PRIOR TO THE EXPIRATION DATE, OF ,THE,PERMIT. ,' IF CONSTRUCTION FAILS TO
<br /> MEET ALL REQUIREMENTS OF STAT~ LAWS AND MARION 'COU~Y BUILDIhG AND ZONING ORDINANCES~
<br /> PLANNING ACTIOH: ·
<br />
<br /> SETBACKS..., FR 2~
<br /> LS--18
<br /> RS'"'I~
<br /> RR" J, 55
<br /> SP ....
<br /> REHAR;~S~ MS/SS/SE/ OKAY =0 USE EXT. SYS ON A 1'RIAL BA,DIo AFTER RE?LAC]JO6 'I'FIE~FH.,,ET BAFF'EL
<br /> AND TANK LID,,~ ..... ........................................................
<br /> ,O(~NAL. D E,, WOODL, EY,~ ~ARION COUNTY ~clL. DING OFFI(3IAL / BY ..........
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<br />FORM * MC 15-~ ~EV, ~ OF FICE COPY
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