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MARION COUNTY BUILDING INSPECTION SENATOR BLDG, NO, 225 220 HIGH STREET NE SALEM, OREGON 97301 PHONE: 588-5147 8:00 - 4:30 24 HOUR CODE-A-PHONE: 588-7904 0ATE: OA'fE: OWNER; SANTIAH HOMES TIME.:. 14: 42:1.~ fax LOT: CONSTRUCTION TYPE: CATEGORY: RESIBENTIAL 215 BELLEVUE DR 83 ........ CONTRACT CITY: AU~SVILLE OR 9'?~25 AUMSVILLE NO MANUFACTURE~ STRUCTURE ; MILL CREEK ~IA]'E~ ,, AGENT: CRAIG LUCAS-SANTIAM HOMES : SiTE HUMBER: PHOHE: 7&~-7744 VALUATION: LOT: :e~dC~i :bCOfiC~: ~b¢~§~i~; ..... : ~XW~Ei ~d~6: MAP: }WIDTH; !DE~TH; ....................... ; i~R~Gi ~: ~ S5 : 84: 4&2~. : SF i NO NO TYPE: MAHUFACTURED STRUCTURE PEI~IT DR APPLICATIOH N0: 50511 CONTRACTOr, NO. ~8238 D~iel L Carver 11~73 Hill Creek Rd Au~sville. ~7~25-0808 PHONE: ITEM QUANTITY AMOUN¥ MANUFACTURED STRUCTURE PLACEMENT/CONNECTION $182.80 NANUFACTURE~ STRUCTURE STATE FEE $20.00 NAHUFACTURED STRUCTURE STATE SURCHARGE $~.10 TOTAL AssEssED FEES $211.10 PREVIOUS RECEIPTS $211.18 THIS RECEIPT $0.00 PAYEE: INVOICE RECEIVE~ BY: PB TYPE: CHECK ~: 0 ~ THIS IS A VALID PERMIT ~ THIS PERHIT FEE COVERSONEINSPECTIOH AND OHE REINSPECTIQN. ALL BLOCKIHC~ STRIR INSTALLATIQH, PLUHgINC~ MECHANICAL, AHD ELECTRICRL CONNECTIONS ARE REQUIRED TO RE COMPLETED UPON REQUEST FOR THE FIRST IRSPECTIQN. IF ANY DF THE ZTEHS ~RE ZNCDMPLETE, AN ~DDITIONAL INSPECTION FEE ~ILL ~E REQUIRED. PERMIT IS VALID FOR SIX MOHTHSOHLY; REHE~EDFOR6 NORTHS UPOH NRITTEN REQUEST FOR AH EXTEHS[QN. PRIUR TO THEEXPIRATIOH ~ATE OF THEPERMIT. IF CUHSTRUCTIOM FAILS TO MEET ALL EEi~J~REMENTS OFST~TE AND ZONING ORD~N~NCES~ PLANNIMG ACTION: SETBACKS: FR 11 LS-15 RS-15 HR-lO REMARKS: MFG HOHE DONA~O E. WOOQLEY~ MARION COUNTY BUILDING OFFICIAL / BY .......... _~¢.~..,_ FOnM ~ MC ~S-56 R~v. 4/90 OFFICE COPY