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MARION COUNTY BUILDING INSPECTION
<br />COMMUNITY DEVELOPMENT CENTER
<br />
<br /> 285 Church Street lie · Room 132 * Salem, Oregon 07301-3670
<br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 * :24-HR inspection Line: (503) 558-7904
<br />
<br />DATE/T~HE
<br />ACTIVITY
<br />PAgE
<br />
<br />NO. :
<br />
<br />EXEiMPTI'OH APPROVAL
<br />
<br /> STATUS :ZSSUED
<br /> APPLIED
<br /> APPROVED : ~3128/1995
<br /> TO EXPIRE
<br />
<br /> , ............................... ,,. -.. ~ ......... .,, ,,,, ,,,. ,,,, ,,,, ,...,,..,..,.
<br />
<br />: AF'F'LiCANT
<br /> NAME
<br /> ADP ~ .,~
<br />
<br />I- ARI,,E./.~ S~[ZE
<br />
<br />~ ;:,! 7 :1. :':! ,~RNDT lED hie AR
<br />
<br />4~2 15--0~)~
<br /> TIMOTHY J & SHELLY L.
<br />
<br />ROYER,~ c,L. INDA L,
<br />144S2 ,:~ I..,IVESAY RD
<br />0 R E G 0 N C 'I '? Y, O R 9 7 ~ 4 5
<br />
<br />Front: L.E ft. ~ight,. Rear: Special:
<br />I,lO SE'f'SACI~S Ol,I AG EXEMPT~ fib
<br />
<br />CITY CC'gE
<br />
<br /> ;ca~::Lon for e×e~tot. !,~'l:'~tlS fro~ the st¥'uc'~'ura], specialty code for an
<br />..~ ~]'bura) i J:i. ng h~as be~]~ reviewe~ and ,~pproved sub,~ect 'bo the
<br />
<br /> t,, F'ersm~s wi].l not' be working i~a the structure more {'bari a t'ot-al
<br /> o'f 144 hours duri~q any week of 'Jtl~e year.
<br />
<br /> The ~t'ructure wJ,~ not be ~$ed by the p~lb].:i,c at any time,,
<br />
<br /> County approval of and a pm'~'~it for the :Lnst~lZ~]tion of a
<br /> sep'~'::i.c system Must be obtaiJ~ed prior to use of 8~y
<br /> 'f~ci],ities in the structure.
<br />
<br /> 4, Electrical~ p].u~bing mhd ~echanical permits are required for
<br /> work perf'orMed aYd i,~uSt be obtained prior to co~,~Mel'l¢ing work.
<br />
<br /> 5, A~ ve ¥'equireO setbmcks mus~ be ~ain~'ained,,
<br />
<br /> cr~6n!je of use f'rm,~ that indicated wi],l reqliire 'fur~cher review by Naricm
<br /> [].arming a~ ~ui].~in§ l~spectim'~ Divisions.
<br /> Co:,~,,u.mit'y Z[)ew~lop~,~ent, :' '
<br />
<br />,¢';[: r' C aY~y Of ":-~e prov:.s:,ons of the specialty codes or ef any other
<br />
<br />!,,,,, ;: .,, ~FrOPU]]Ef,, !dAi:E:[(:~N COUNTY BUIL. DiNI; OFF:[CZAL / BY CL. YNE]"!
<br />
<br />;;.Z~S EX,'-:~FTION EXF'IRES 1~ DAYS FROM APF'~OVAL ~TE. IF CONSTR[~CTIOW FAILS TO
<br />~,~E.E'T ALL REQUiREME~qTS {ZF STATE LAWS AND MARION COi,~TY ORDINANCES~ THIS APPROVAL
<br />
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