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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: 58817904 <br /> <br />Other ........ <br /> <br />'OWNER: [~r:lTI .... I,J,l~O/?.~, '[,~E~ ~0...~2 I TAX LOT; CATEGORY; ' <br /> 3'[ E[..MAN~ PAH <br />~BITU~ ADDRESS' ' .................................. <br /> <br /> SPEN <br />~ ~UMS~ILLE ' OR 97325 ' ~AtJMSVZL. I_E j NO . <br /> <br />~ HANUF~CTURED STRUCTURE ' " ' I 3 J <br /> <br /> S~E ~ S~TE NUH~ER: 93-0392~ <br /> PHONE: <br /> <br />.... . ......... .... . .... ..... .... <br /> <br />TYPE: NRNUFACTURED STRUCTURE PERMIT OR APPLICATION <br />CONTRACTOR~ NO. 14722 <br /> COMH Woodburn [nc <br />285 S Pacif~.c Hw¥ <br />~oodbut'm~ 9707$'-0~00 <br />PHONE: 9~i-314~ <br /> <br /> ITEM <br />MANUFACTURED STRUCTURE P~ACEMENT/I <br />MANUFACTURED STRUCTURE S~TE FEE <br />M~NUF~CTIRE~ STRUCTURE <br /> <br />PAYEE: <br />RECEIVED BY: CL. <br /> <br /> ~$ THIS IS A VRLID PERMI- <br /> REINSPECTiON. ALL BLOCK; <br /> CONNECTIONS ARE REQUIRED <br /> ANY OF THE ITEMS ARE <br /> PERMIT IS VALID FOR SIX <br /> AN EXTENSION. PRIOR TO <br />MEET ALL REQOIREMENT~ OF <br />PLANNING ACT[ON: ~ <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $182~08 <br /> $20.00 <br /> <br />$226.10 <br /> <br /> $0.00 <br /> <br />$0.,00 <br /> <br />INVOICE <br />CHECK ~: 0 <br /> <br /> AND ONE <br />flECHANICAL. AND ELECTRICAL <br /> FIRST INSPECTION. IF <br /> WILL BE REQUIRED. <br />UPON WRITTEN REQUEST FOR <br /> CONSTRUCTION FALLS TO <br /> AND ZON~Ng OR~IN6NCES~ <br /> <br />SETBACKS: PR 10 <br /> LS-15~ <br /> <br /> RR'"IO <br /> ~.. :. ~!, ~,, ~ .,~ ..;, ~F <br /> kF_'.MARK~,, Pb PLACEMENT *TO ,M~,ON ~T ~xRZGHI.,,.~:F ~,:~,~.~C¢~N7 ~ A <br />DONALD ~. WOODI FY, MARION ~U~~,,OFi~CIAk / S~ ~uWu <br /> <br />FORM # MC 1~6~ REV, 419~ OF FICE COPY <br /> <br /> <br />