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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 - 4:80 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />The work wlH be performed by a registered builder. <br />Other <br /> <br /> 9AV;I]S, W];t...LIAH (:;-. & REBECCA L. 5f,..5~',~-000 ¢ RES;I]])ENT;(AL <br /> <br /> ~12 DAVIS RID[;E DR SE r-~f'~SfS'~ ~"g~i <br /> AUMS~ILI..Z OR ~7525 ~HARIOh[ COUNTY[ NO <br /> <br /> HAbfUFA C'~'Ui~;D S'TRtJCTURE ' :¢ ; <br /> <br /> SITE HUH~ER= 9~-~542 : <br /> PHOBIC=: a97..-~494 ¢ VAL. UATION: <br /> <br />TYPE: MANUFACTURED STRUCTURE <br />CONTRACTOR, NO. <br />l)af~iel L arver <br />:L,l.,¢?,-,~ M:i. iL,1, C¥'eek Rd <br />,A_,u,lsv ;i. i le ~ 97 :'~25- 00~,~10 <br />J; HONE". 7~9'-774.4 <br /> <br />PERMIT OR APPLICATION NO: 47625 <br /> <br />HA.k~UFACTURED S"rRUCTUF~F; PLAC. EMENT/CQNNi~CTION <br />HAN[J!:ACTURE. D STRUCTUFd~ STATE FEE <br />~ANLtFAC'TURF_I) ~Yf'R!]CTURE STATE SURCHARGE <br />i"IAt,H.IFACTLYd'._:..I) STRLiCTURE ZONING SI.!RCHAr.~GE <br /> <br />F'AYEE: <br /> ,[VEl) BY: CL <br /> <br />I'OTAL ASSEssED FEES <br />PREV:[OUS RECEIPTS <br />T"IS RECEIPT <br /> <br />QUANTITY <br /> <br />A~I£)UNT <br /> $i82.88 <br /> $20.00 <br /> <br />$226,10 <br />$226.:L0 <br /> $0.00 <br /> <br />$0.00 <br /> <br /> · ~ THIS IS A VALID PERMIT A~ THIS PERMIT FEE COVERS GNE INSPECTION AND ONE <br /> REINSPECTION. ALL BLOCKING~ STAIR INSTALLATION~ PLUliBING~ ttECHANICAL, AND ELECTRICAL <br /> CONNECTIONS ARE REQUIRED TO BE COMPLETED UPON REQU~T FOR THE FIRST INSPECTION. IF <br /> ANY OF THE ITEMS ARE INCOMPLETE~ AN ADDITIONAL INSPECTION FEE WILL BE REQUIRED. <br /> PERMIT IS VALID FOR SlX ~ONTHS ONLY, RENEWED FOR 6 M~flTHS UPON WRITTEN REQUEST FOR <br /> AW EXTENSION~ PRIOR TO THE EXPIRAT~ON DATE OF THE PEEMIT~ IF CONSTR~CTION FAILS TO <br /> MEET ALL REQUIREMENTS OF STATE LAWS ANB MARION ~OUNTY BUILDING AND ZONING <br />F'.L ANN:I:N(~ AC'f '.':0 N ~ <br /> SE'rBACKS~ FR <br /> <br /> SP"' <br /> REHARKS¢ STAND¢,RD SYSTEH WITH UPSLOPE CURTAIN DRAIN,, ' ........... <br /> <br /> i)ONAL. D E:. ~OOD',..EY~ HAR:[ON COUi~I]'f'Y [4[.JZ[...I}];~G (:)J::'F]:C];AL / ~Y ......... ~_ ............................................................ <br /> <br />FORM # MC 1~-$6 RE¥, 4/~0 :E COPY <br /> <br /> <br />