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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97'301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other__ <br /> <br />11/13/91 'TIME: <br /> <br />OI T'f'MAN, JERRY <br /> <br />SIGNATURE OF APPLICANT[ <br /> SATE: <br /> <br /> TAX LOT: <br /> <br /> CONS/'RUC f tON TYPE: <br /> <br /> 24,5 YEW C[ <br />AU~3Vi LLE <br /> <br />OR 97:325 <br /> <br />AU~ViLLE <br /> <br />UGS: <br /> <br />NO <br /> <br />2??5 CLAX'f'ER RD NE <br />PHONE: 393-4-6)86 <br /> <br />SINGLE FA~4 t LY O~ELLiNGS <br /> <br />SECTION: TOWNSHIP: <br /> <br />EVERGREEN MH PARK <br /> <br />Si 'f'E NUI",IB ER: <br />VALUA'f iON: <br />RANGE; ' ZONE: <br /> <br />O. NO NO <br /> <br />CATEGORY: <br /> RES;[ DENT iAL <br /> <br />OCCUPANT LOAD: <br /> <br />NO OF BEDROOMS: <br /> <br />MAP: <br /> <br />IYPE: MANUFACI'URED S'~"RUC'IURE PERMIT OR APPLICATION NO: 36';"43 <br /> <br />C~I'I RAC'T'OR__NO_ <br /> COMH Woodb~Jr'n Inc <br /> <br />~oodbur'n, 9 ~071-0000 <br />PHONE: 981.-3141 <br /> <br /> II'EM <br />MANUF;ACTURED SFRUC'FURE PLACEMEN'F/C©NNECI'ION <br />MANUFACTURED SIRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE STALE SURCHARGE <br /> <br />T'O'/'AL A~BE~SED FEES <br />PREVIOUS RECEIP'f'~ <br />THiS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> <br /> $20_00 <br /> $9.10 <br /> <br />PAYEE: <br /> <br />$ 2 l 1 , 1 0 <br /> $0. Or:} <br /> <br />BALANCE DUE <br /> <br />iNVOiCE <br /> <br /> RECEIVED BY: OM2 '['YPE: CHECK ~: 0 <br /> ~ THiS iS A VALID PER$4iT x,~ THiSPERf4IT PEE r.~VEI~5ONE iNSPECTiON ANO ONE REINSP~TI~. ALL <br /> STAIR INSTAL~Ti~. P~ING. ~E~ICAL, ~D EL~TRI~L ~N~TI~S ARE R~IRED TO GE ~PLI <br /> R~T FOR THE FI~T INSP~TI~. IF ~Y OF THE [T~ ~E IN~PLETE. ~ ADOITI~AL INSPEC[H <br /> <br />~ _~:gA?=,.~-~N~ j2~!~ ~T~.~TE ~ ~E PE~iT. ~F ~T~CTI~ FAi~ TO ~EET ALL RE~ <br />NF ~ ~ ~u ~R~ ~N/Y ~UILBiN6 ~D Z~iNG ORD~N~C~, THiS PE~IT ~ALL BE~6 NULL <br /> <br />SE'T'BAC~%: FR lO LS 10 RiB 10 RR 10 SP <br />REMARKS: ~Ai~'f'A~N 15 FEEl' SEPARATION BE'f'~EE~-~ILE HOMES AND CO¢41..Y N11'H OAR <br /> 918-600-050(2)(8) <br />PLANNING ACTION: <br />£×3NALO E. WOOOLEY, MARION COUNF'Y BUiLDiNG OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />