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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OF~EGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:$0 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> The work will be performed Dy a registered builder. <br /> Ot~er <br /> <br />DATE: 08/09/9~ TINE: 9: FJ4:06 <br />f OWNER: BAGNRAH [ ~H:~' ' 'GOSR II~H ............ ?A~25z05:i ............................ <br /> <br /> 7492 LOFTY LOOP ~E"~ <br />us~ o, mu~o~IUFA~TORE~ STRUCTURE ................................ .o'~ <br /> <br /> 7725 65TH AVE <br /> SALEM OR 97~e5 .......... ~[TE~ NUN~E~:"'~=e2~ ................ <br /> FHONE. ~9~-5445 VALUATION: <br /> <br />'~6~,. '. ....... , "~bC~ ........ ,'~.O~u: ................ ¢~d~,~,~,. .......... ~X~ ............ ZO'~'~. ............. ~¢% <br /> <br /> I YF~: ~NUFA~;URED ~RBC;UEE PEE~IT' OR APPLICATION NO: 48599 <br /> CONI'EACTO~ NO.. 14876 <br /> Western Lzvi~g Holms <br /> 483~; Portland Rd NE <br /> Sale~l~ 973~5-~88~ <br /> PHONE: <br /> <br /> QOANTITY AHOUNT <br /> HANOFACTUEED SI'EUCTUEE PLACEMENT/CONNECTION <br /> HANUFACTURE9 STRUCTURE STATE FEE <br /> HAHOFACTURED STRUCTURE STATE SURCHARGE <br /> MANUFACTUEEB STRUCTURE ZONING SURCHARGE <br /> MANUFACTURED STRUCTURE TURNPIKE D/W BUILDING' INSPECTION <br /> MANUFACTURE9 STRUCTURE TURNPIKE Q/W PUBLIC WORKS <br /> <br /> ~OTAL ASSESSED FEES $24~. <br /> REVIOUS RECEIPTS <br /> THIS ,RECEIPT <br /> <br /> 'B~L~NCE DUE <br /> <br /> RECEIVED BY: PB TYPE1 <br /> ~ TH]S IS A VALID PERHIT $$ THIS PERHZT'[[E COVERS ONE INSPECT[OH AND ONE <br /> REIHSPECTIOH. ~LL BLOCK[HG~/STAIR, I~T~LLATIOH.' PLUH~[NG~ HECH~NICRL. ~HD ELECTRICAL <br /> COHHECTIONS ~RE REGU[RED TO ~E COHPLETE~ UPOH REGU~T FOR THE FIRST IRSPECTIOH. <br /> RHY OF THE [TEHS RRE [H~HPLETE. RH ~D]TIOH~L .[H~CT[OH FEE ~[LL <br /> PER~IT 1S V~LI~ FOR SIX 'HOHTHS OHLY., RENE~ED FOR' 6 HONTHS UPON ~R[TTEN REQUEST <br /> ~1~ EXTEHS[OH. PR[OR TO THE EXP]R~TIOH D~TE' OF THE ~RHIT. IF COHSTRUCTIOH F~[LS <br /> flEET RLL EEGUIREflEHTS OF STATE LA~S ~HD H~R[OH COU~Y ~U[LDZHC <br /> PLANNING ACTION: <br /> SETBACKS: FR_28 <br /> LS <br /> <br /> SP .... <br /> REMARKS: HAHUF HOHE SEE PLOTPLAN DATE98/4/?S. 1~ MIN PROM WELLo~ 58~TCH~,~ ....... <br /> DONALD E. WOO~LEY, HARION COUNTY BU~LDZNG OFFICIAL / BY ................... <br /> <br /> OFFICE COPY <br /> <br /> <br />