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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NQ. 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: $88-7904 <br /> <br /> I am performing work on a property I own or occupy. <br /> l am a registered builder OR ( )theauthorizedrePresentatwe <br /> Ct a registered builder. <br /> The work will be performed by a registered builder· <br /> Other <br /> I I~ave read and agree to the terms stated on the reverse side <br /> this document. <br /> <br /> 0Al'E: 05/20/92 'T' i~E: <br /> GREEN, JOE <br />SITUS ADDRESS: <br /> <br />DATE; , <br /> <br />TAX LOT: <br /> ?0551191 <br /> <br />CONS~RgCTION TYPE; <br /> <br /> 11693 THRUSH Cf' <br />AURORA OR 9?002 <br /> <br />USE OF BUILDING; <br />MAILING ADDRESS~ <br /> <br />~ANUFAC'f'URE0 STRUCTURE <br /> <br />20 WALKING WOOD DR <br />LAKE OI~EGQ, OR 97035 <br />~ONE: 638-?9]8 <br /> <br />LOT: BLOOK: <br /> 20 19 <br /> AREA: <br />WIDTH; ~ ~DE RTE'. ~ 00 <br /> <br />CONTRACT CITY; UGB: <br />P~I,AR [ ON COUNTY <br /> <br />NO <br /> <br />CATEGORY: RES i DEN l I AL <br /> <br />OCCUPANCY: <br /> R-3 <br /> <br />QC~U PANT LOAD; <br /> <br /> NO OF BEDROOMS <br /> <br /> SU~DIVLSiON: <br /> CENI'URY I~EAOOONS N©4 <br /> <br /> ~i1'E NUHBER: 92~01582 <br /> VAL.UA'f'[ON: <br /> <br /> T~WNSHIP: RANGE: ZONE: MAP: <br />33 35 1~ <br /> <br />TYPE:: MANUFAC'f'URE~ STRUCTURE PERiVII'f OR APPLiCATiON NO; <br /> <br />CON1'RAC'¥OR, NO. <br />GREEN, JOE <br />20 WALK.lNG HOOD DR <br />LAKE Ob,~EGO, OR 97035 <br />PHONE; 636-7918 <br /> <br /> ITEM <br />MANUFACTURED STRUCTURE PLACF_SVlEN'f/CONNECf'ION <br />MANUFAC'I'URE0 STRUCTURE S'fA~'E FEE <br />MANUFAC'fURED STRUC'[URE STATE SURCHARGE <br />MANUFACI'URED STRUCTURE ZONING SURCHARGE <br /> <br />'fOTAL ~ESSED FEES <br />PRE¥iOUS RECEIPTS <br />THIS RECEIPT <br /> <br />39534 <br /> <br />QUANiI1Y A~QUNf' <br /> $182.00 <br /> $20.00 <br /> SS.~0 <br /> $~5_00 <br /> <br />$226.10 <br /> $0,00 <br /> <br />BALANCE DUE $0. O0 <br /> <br /> RECEIPT <br />TYPE: CHECK ~: 0 <br /> <br />PAYEE: <br />RECEIVED BY: pb2 ............................................................................................................................. <br /> <br /> ** THI5 i~ A VALID PER~iT ~ THI~ PER/~iT FEE COVERS ONE INSPECTION AND ONE REiNSPECTION.. ALL <br />8LOCKING, STAIR IN,TALER'FlOR, PLUIV~iNG, MECHANICAL. ~D ELECTRICAL CONNE. C:TION~ ARE REQUIRED T <br />~EOS~PLETED UPON REQUEST FOR THE F[RST INSPECTION. iF ANY OF T~E iTIB~IS ARE INCOfflPLETE. A~_ R <br />ADDITIONAL iNSPECTiON FEE NiLE BE REOUiRED. PEI~4ITIS VALID FOR ~IX I~ONTHS ONLY. RENE~IED O <br />6 t~ONTRS UPON NRITT~N REQUEST ~OR AN'EXTENSiON, PRIOR TO THE EXPiRATiON DA?E OF THE PER~41T. <br />.~ C~)N~TRUCTION FALLS TO ~T ALL REQUJRE~4ENTS OF STATE L~A~ ANO t4ARiON OE~N'fY ~UILDING AND <br />ZONING ORDiNANOE~, TB~ PERMIT SHALL DECODE NULL AND VOID. <br /> <br />3EI'SACKS: F'~ 10 ,ES 3 RS 12 RR 12 SP <br />RE~ARKS;}~FG"PLACE~EN'f ................... <br /> <br />PLANNIN~ AC~'~ON: <br />DONALD'E. WOODLEY, ~ARION COUN~'Y 8UiLDiNG OFH'IC~AL / BY <br /> <br /> OFFICE COPY <br />FORM # MO 15-56 ~EV, 4/90 <br /> <br /> <br />