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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 />lamaregisteredbullderOR( ) the authorized representative <br />The work will be performed by a registered builder. <br /> <br />:bWfl~:f'E.' 04/t0/92 Ti~4E: 15:93:41 <br /> <br />POTHETES, NiCK <br /> <br /> 2?0 EVERGREEN OR <br /> AUNISVi LLE OR 9?325 <br />............................. :.AFJC4S¥t.LLE .......... NO : <br />U~E OF BUILDING'. <br /> <br /> 5'??08-000 RESi DSN1 .[,~L <br />7 GONTRAC~ CITY'. UGB; : OCCUPANT LOA~'3 <br /> <br />~AiL.'NG ADr~RESS: ¢t4~NU FAC'f'U ~E ~ 'S'{' F~C;'f'0 RE Su~D,vlsi6~: 3 <br />EVERGRf.r.rgEN EE'I'A;I'E.5 MH PARK <br /> <br />PHONE; : <br /> <br /> BFOCKi , SEOTION: TO'WNSMIP: <br /> <br /> 5ITE NUMBER: 92-01389 <br /> VALUATION; <br />RANGE; ZONE; <br /> <br />:!WlOTH; '7 ........................ ~ER'rH: , AREA: 25 ' U~I;rS: <br /> 58 . . . 851 <br /> <br />, SF' 'fE~ NO <br /> <br />TYPE: MANUFAC'rUREO S'f'RUCf'URE PERIVli'r OR APPLICATION NO: 39208 <br /> <br />CONTRACTOR, NO. 38238 <br />Oanle"l L C~vep <br />11373 Mff-I"l Cpeek Rd <br />Aumsvi'l'le, 97325~0000 <br />F~ONE: 769~7'744 <br /> <br />1'4ANUFAC'rURED STRUCTURE PLACP.~EN'r/CONNEC'FiON <br />~ANUPACTURED STRUCTURE STATE FEE <br />IVlANUFAC'f'UREO STRUCTURE STATE SUN%IflARGE <br /> <br />QUANf'ITY <br /> <br />TOTAL ASSESSEO FEES <br />PREVIOUS RECEIPTS <br />THiS RECEIPT <br /> <br />At4OUN'f' <br /> $182.00 <br /> $20.00 <br /> $9.10 <br /> <br />$211.19 <br />$2~_~o <br /> <br />BALANCE OUE $0.90 <br /> <br /> PAYEE: INVOICE <br /> RECEIVE~ BY: PB TYPE: CiHECK ~: 0 <br /> <br />~ THIS iS A VALID PER~iT x~ THiS PERI, iT FEE COVERE~ ONE INSPECTI~ ~D ~E REiNSPECTi~+ ALL <br />8L~KiNG, STAIR [NSTAL~Ti~, P~ING¢ ~I~L. ~D ELECTRiCAL~NECTi~S ARE RE~IRED 7 <br />8E ~PLETED U~ RE~T FOR THE FI~T iNSP~TI~, iF ~Y OF THE iT~ ARE iN~PLETE, ~. <br />ADDITi~AL iNSP~TI~ FEE NILL BE RE~IRED+ PE~IT IS VALID FOR SiX ~THS ~LY. R~ED ~6 <br />~ ~THS U~ ~RITT~ RE~T FOR ~ ~T~Si~. PRIOR TO THE ~PI~TI~ ~TE OF THE PEtiT <br />ZP ~ST~C'ri~ FAI~ TO MEET ALL REdiReCT5 OF STATE ~ ~D ~RI~ ~NTY BUILDING ~ <br />Z~iNG ORDiN~C~. THiS PE~IT ~ALL B~E NULL ~O VOID. <br /> <br />SETBACKS: FR 10 LS 15 RS 15 RR 10 SP <br />RE~tARKS: F~3~A'LE HCY4E PLACEREN] ................... <br /> <br />PLANNING ACTION: <br />DONALD E. WDODLEY, ~ARiON COUNTY BUiLDiNG OFF'iCtAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />