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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO. :225 <br />220 HiGH STREET NP <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 <br />24 HOUR CODE-A-PHONE: 588~7904 <br /> <br /> CONTRACT CITY -- ~'~0'~ .......... [~tc~ANT I. OAD ' <br /> <br /> 4~1 DURBIN gR 32 .................... ¥ t ; ............ ; ~ <br />................ AU~S-V.;~LE ..................... gR---~% .......... L~J~V-IL~,~ ............ LNg ..................... ~ ......... "* ~'"*¢:~oE~'S" ' <br /> <br />F;A?giN ~ gb D~U P(~& T U R ~9 ~ ~TFfU~URE ................................... ~-~E~?~'~6 ~ ................................................. S ...... <br /> <br /> SiTE NUMBER: 73-83&~2 <br /> PFIONE: 58;L-1197 VALUATION: <br /> r'L°T~ , .LOCK: SECTION; TOWNSHIP; RA~ ....... ~ ~ ....... -'1'~; .... <br /> <br />. L ................... ¢~ ...................... ~ .............~2~: .......'~ ...... :~ ............. ~E~ ......................... <br /> <br />TYPE: MANUFACTURED STRUCTURE <br />CONTRACTOR~ NO, 1487& <br /> Wes~er~ Livi~q HoMes <br />48~5 Portland Rd NE <br />Sa].e~, 97~05-0~00 <br />PHONE: <br /> <br />PERMIT OR APPLICATION NO: 5~828 <br /> <br /> ITEH <br />KANUFACTURE9 STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTURE~ STRUCTURE STATE FEE <br />HANUFACTURE~ STRUCTURE ST,ATE SURCHARGE <br /> <br />TOTAL ASSESSES FEES <br />PREVIOUS RECEIPTS <br />THIS` R~CEZPT <br /> <br />QUANTITY AMOUNT <br /> $182.00 <br /> $20,,00 <br /> $9.10 <br /> <br />$211.10 <br />$211.10 <br /> $0.00 <br /> <br /> PAYEE: IHVOICE <br /> REC,EIVED BY: PB ....................................... -.'.:'.TYPE: CHECK ~,: 0 <br /> <br /> ** THIS IS A VALID PERMIT,, **,,THIS :PERMIT' FEE COVERS OI'IE INSPECTION AND ONE <br /> R~NSPECT~OH. ALL BLOCK~NG,:.:~TAIR IHSTALLATION~ P.LUNBiHG, MECHANICAL, AH9 ELECTRICAL <br /> CONNECTIONS ARE REQUIRE~ TO.~SE' COMPLETE~ UPON REgUEST. EOR THE FIRST INSPECTION. ZF <br /> ~HY OF THE ~TEHS ARE ZNCOHPLETE. 'AN ADDZTTONAE,TNSPECT~ON FEE ~LL ~E REGUZREb. <br /> PgRNZT ~S VALID FOR S~X HONTHS Q~Y, RENEMED FQR ~ :NQNTHS UPON ~R~T~EN REQUEST FOR <br /> AN EXTENSION. PRIOR TO THE EXPiRaTiON DATE OF,THE ~RH~, ZF CONSTRUCTION FAILS TO <br /> HEET ALL REQU~REHENTS OF STATE LAMS AN~ HARZON COUNTY :8UZL~NG AND ZONING ORD~NANCES~ <br />PI_hNNIN~ ACTION: ' <br /> . ' · . . SETBAI;I(9: FR 18 <br /> LS'-le <br /> <br /> RR"18 <br /> SP- <br /> (:~EHARKS: HF'G HOME ~. <br /> <br /> ~0N~L..~ E,, U0BDf..EY,) H~F(ZOI,I C¢UNTY BIJZLgZN6 BFF~6:[~L /BY ,~--~ .................. <br /> <br />~o~ ~ ac ,~-~ R~,. 4/~ OFFICE COPY <br /> <br /> <br />