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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />¢~20 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 />t am performing work on ~. property I own or occupy, <br />I am a registered builder OR ) the authorized representative <br />of a registered builder. <br />The work will be performed by a reglstered builder, <br />Other <br /> <br />TAX LOT: CATEGORY; <br /> <br />CONeTRUCI'ION TYPE; <br /> <br />OCCUPANCYt <br /> <br /> :1.:I~78 WARBLER LANE NE CONTRACTOITY: UGl~: OCCUPANT <br /> AURORA OR 97002 NO <br /> <br />......... ~AI~EAST~D__S~U~T~ 191~ .... <br /> <br /> 'TIGARI), 9722~ 245-8828 / SITE HUHBER: ~-84111 <br /> PHONE= ~28-6:L95 ~ VALUATION: <br /> <br />TYPE: NANUFACTURED STRUCTURE PERNIT OR APPLICATION <br />CONTRACTOR., 1,10. <br />HOI.JSE ~ .HARCIA <br />11635 SW PAtJL SP 10 <br />'¥IGARD~ ?7223 245-8828 <br />PHONE: 62~'"6195 ,~ ,~ ~:~,~ ~,.:~ .:,,~,~ ~:,,~ ~,,~..~,~,~, ~., ~, ~ ........ <br /> <br />ITEN <br />MANUFACTURED STRUCTURE ACEMENT/ EON <br />~ANUFAOTURED STRUCTURE <br />MANUFACTURED STRUCTURE <br />MANUFACTURED STRUCTURE <br /> <br />51672 <br /> <br />QUANTITY <br /> <br />AflOUNT <br /> $182,,00 <br /> $20.00 <br /> $9.10 <br /> $15,,00 <br /> <br />$~6.10 <br /> <br /> $0~00 <br /> <br />$0.00 <br /> <br />PAYEE: <br />RECEIVED BY: DM2 <br /> <br />RECEIPT <br />CHECK ~: 0 <br /> <br /> ~* TNIS IS A VALI~ <br /> RE~NSPECTIQN. ALL <br /> CONNECTIONS ARE <br /> ~H¥ OF THE [TENS ARE <br /> PERHIT IS VALID FOR <br /> AN EXTENSION. PRIOR TO <br /> ~EET ALL REOOIRENENTS OF <br />PLANNING ACTION= <br /> <br /> REMARKS;; M!;~ <br /> <br />;)ONAi.t) El.. WOODI_EY. HARION '~,8~,~J)'~,~8~,l,~,~,~,'B,~,~:~t2~_~,,.,_~ .... <br /> <br /> AND ONE <br /> AND ELECTRICAL <br />FIRST IF <br />WILL BE REQUIRE~. <br /> WRITTEN REQUEST FOR <br />CONSTRUCTION FA~LS TO <br /> AND ZONINC OR~IflANCES~ <br /> <br />SE'F;~ACK!,~." F'R 10 <br /> LS-5 <br /> <br /> L[~Ei?. 5 <br /> <br />:PORt~ # ~C t S.~ R~V,,~ OFFICE COPY <br /> <br /> <br />