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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 />I am a registered builder OR the authorized repre~enta ire <br />of e registered builder, <br />The work will be performed by a registered builder, - <br />Other <br /> <br />I have read end agree to the terms Stated on the reverse side Of <br />this document. <br /> <br /> $ TUS AJ~: 5HARrN ..... CONSTRUCTION TYPE: ~1~!~ "]'~::' - <br /> <br />L ~ J, ~ ~SPEN DR '~6~i~A~T ~TfYT ...... -[-¥a'~] ....................... ~A~Y~: ..... <br /> 7 <br />., C,-~ -~F-~-~.O~ ~' ' .... ~7, ~ ~' .... ', ,~V~~ ...... lt_~ ................. ~o OF ~EO ~00'" S: <br /> <br /> ~~I~ ......................... <br /> <br />'~l EW~ '" ~" .......... ~8~, ko~ ....... ~o~ ......................... 51 <br />........ ~' . , '~ ~ =11 ....~ ~ hl~ / ~ ,~ ......... <br /> <br />TYPE: NANUFACTURE~) STRUCTURE <br />CONTRACTOR, HO. 4~07 <br /> KILROYS <br />223~ N PACIFIC HWY <br />WOOD~URIq. 77071000¢] <br />PHONE: 981-~146 <br /> <br /> I'rEM <br />NANUFACTURED STRUCTUR <br />NANUFACTORED STRUCTURE <br />MANUF ~C'FURED <br /> <br />PERMIT OR APPLICATION NO: 5201~ <br /> <br />PAYEE: <br />RECEIVED BY: cr <br /> <br /> ~3 THIS IS A VALID <br /> REINSPECTION. ALL <br /> CONNECTIONS ARE <br /> ANY OF THE ITEMS ARE <br /> PERMIT IS VALI~ FOR! <br /> AN EXTENS~GN~ PRIOR TO <br /> HEET ALL REQUIREHENTS OFI <br />PLANN!Iq([ AC'¥ION: <br /> <br />~ DO;,IAI_D E,, kiOqDLEY,~ <br /> <br />CARF'ORT A:~N,~NG ',~":,;' · <br /> <br />QUAN1 z'rY <br /> <br />AMOUNT <br /> S182.00 <br /> $20.00 <br /> $9,.lg <br /> <br />INVOICE <br />CNECK ~: 0 <br /> <br />AND ONE <br /> <br /> AND ELECTRICAL <br /> IF <br /> :gILL BE REQUIRED. <br /> WRITTEN REQUEST FOE <br />IF CONSTR~CTION FAILS TO <br /> AND ZONING ORDINANCES, <br /> <br /> SE'I'BACKS: FR 3.8 <br /> LS-15 <br /> RS"'15 <br /> R~'"'10 <br /> SP .... <br /> <br />FO.M # ~C t~-~ nEv, ,~m~ OFFICE COPY <br /> <br /> <br />