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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 representative <br /> <br /> J~& ChI:~ME[, ~)R I~'~(~I~Ac"TW~JTY; T~'d~'. ~O~UPANTLOAD: <br /> ~ 2 <br /> <br />518 VALLEYWOOD DR SE <br />SAt,,EH., OR 97386 ] ~ITE NUHBER~ 95-88815 <br /> <br />TYPE: MANUFACTURED STRUCTURE <br />COH'FRACTOR, l,lO, 14876 <br /> I,k?$'tern Liv:i,l'lq I,.R,)l,tes ~nc <br />4835 Por'~:Larid Rd NE <br />c~ · <br /> <br />FHON~,. ~93-7:553 <br /> <br />PERMIT OR APPLICATION NO: 68548 <br /> <br />PAYEE; <br /> <br />EIF'T~ <br /> <br />QUANTITY ANOIJNT <br /> $182.80 <br /> $20. OB <br /> $9. ].o <br /> <br />$~II,. 18 <br />$~il. 10 <br /> $0.00 <br /> <br />$0.00 <br /> <br />INVOICE <br /> <br /> R,.CEIVED BY: DF TYPE: CHECK :~: 0 <br /> <br /> BE,:'CO~PLETE~ ~UPOH R~U~T'F~R ~HE: FIRST ~HSPE~T~GN, JF <br /> ~ ~ THE [TEHS ~RE ZHCOHPLETE~. ~AH ~D~'T~OH~L '~.HSP~CT~'DH ~E ~ZLL ~E REqUiRED, <br /> FhNMli IS VALID FOR SiX MQNTHSONLY;, :REHE~ED,,,FOR',6"NONTHS UPON WRITTEN REQUEST FOR <br /> AN EXTEHSION~ PRIUR TO THE EXPIRA~OH', D~E OF;THE'PE~I~., IF CONSTRUCTION FAIL~ TO <br /> MEET ALL REQUIREMENTS OF STATE)LAWS~ AND NARiON '~OUHTY" ~UILDING AND ZONINg ORDINANCES, <br />):').ANNING ACTIi')Iq~ ' ' ' ' ':' ,~,u~, ,' , <br /> <br />CARPORT ~ SP ~:L07 -, MILE_ CREE';, ESTATES <br />i~ARION COUNTy BUII.DING OFFICIAL / BY <br /> <br />SETBACKS: FR 10 <br /> LS-IS <br /> RS-,1,5 <br /> RR-15 <br /> SF:'~ ....... <br /> <br /> OFFICE COPY <br />FORM # MC 15,56 REV. <br /> <br /> <br />