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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 />of a registered builder, <br /> <br />OWNI~R: GOODE,; HEhRY & DOROTNY i TAX LO . ¢~!..~.NF:[AI.,, <br />2B5~ H~"I'TNIEU ST NE <br />~us~ o~ ~U~LD~NUFACTURED STRUCTURE <br /> <br /> PO BOX ~¢~2 <br /> PHONE~ 678-I~1 VALUATION: <br /> <br /> TYPE~ HAHUFACTURE~ STRUCTURE PER~IT OR APPLICATION H0~ <br /> 60NTRACTOR~, biO. <br /> GOODE, HENRY & DOROTNY <br /> PO BOX 3~2 <br /> DONALD 97~ <br /> PHONE: f:78-1~81 <br /> <br /> ITEM QUANTITY AMOUNT <br /> HANUFACTURED STROCTURE PLACEMENT/CONNECTION $18~,,8~ <br /> HANUFACTUEEg ST~UCI'URE STATE FEE <br /> HANUFACTURED STRUCTURE $~ATE SORCHARGE <br /> MANUFACTURED STRUCTURE ZONING SURCHARGE <br /> , , TQ~ AssESSeD FEES $226. <br /> RECEIPTS $226, <br /> <br /> F'~EE= ; <br /> RECEIVEQ BY: PM CHEC~ <br /> <br /> REINSPECT[OH. ALL BLOCK~NG~ ::STA%R. HECHANiCAL, AH~ ELECTRICAL <br /> COHNECT~OH~ ARE REDUIRE=~::~TO~..:.~E::cDHPcETED.UPON R~U~T .FOR :THE F~RST <br /> ANY OF THE ~TEHS ARE ~HC~H~ETE~ AN ~ILL BE REBUIR~. <br /> PERH~T ~S VALZD FOR S~X UPON NR[TTEH REOUEST FOR <br /> AH EXTEnSiOn. PRIOR TQ THE EXP~R~T~OM::~TE' : <br /> MEET ALL REOUIRENENTS ;:Bu~LDI:N6 AND ZONIN~ OROINANCES~ <br /> SETBACKS: FR <br /> <br /> REMARKS: MS NARDSNIP R:,PLACE LIKE W/L.~KE - ~t)~PER FORM <br /> <br /> ~ONAL~ E,, WOO~LEY. MARION COBNTY BUILQZN6 OFFICIAL / BY <br /> <br /> <br />