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MANUFACTURED STRUCTURE <br /> <br /> BUILDING CODES AGENCY ~Visu~al <br />MANUFAC3r'dRED $'I'RUCTURES AND PARKS SEC~ON <br /> 1535 EDGEWATER NW, 5A~M, OREGON 97310 ~ Special <br /> ~LEPHONE: (503) 3~-1235 <br /> <br />INSPECTION <br /> <br /> lent <br /> [~ On-Site <br /> <br />in-State <br />[~out-of-state <br /> <br />Mfr,, N~'no: ~_ [D~te ,f,~lnspj .._ Date of Request: <br />in'SP.~li6n: ....... Instal L~.: ~ <br />........ ~,'.~ , ~ ..... ~ <br />~ver ~ J ~ FinaJ ~ ~ Reins~io. ~A 'g ~her ~ Ty~ Heat <br /> <br />CORRECTIONS / [~ REPORT <br /> <br />--5/,w Reso 1357 ~ <br /> <br />'InspeCtor's Signa-ture <br /> <br />INVOICE 1'O FOLLOW.~L~ent to include all inspections <br />perfermed durir~§ cairned-ar m~th. Peyment due by 10th ~ <br /> <br /> <br />