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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM1 OREGON 97301 <br /> <br /> PHONE: 588-514'7 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am a registered builder OR ( )theauthorlzed ropresontatlve <br /> <br />The work will be performed by ,~ reCj~tured builde¢. <br /> <br />SIGNATURE Of APPLICANT~ <br /> DATE: <br /> <br /> DATE: 09/:J, 7/93 TINEz <br /> OWNER'. TAx LOT; i CAYEGORY: <br /> F:[$1-[Ef% PHILLIP & KATHERINE ~Te45--eee ,' RESIDENTIAL <br /> <br /> ~ /&~e ~/2 ERIN ST , ~ , CONTRACT CITY; ~UGB~ :OCCUPANT LOAD; <br /> bETRO~T OR ~734,_ ~ETEOIT , YES <br /> <br /> H~NUF~CTURE~ STROCTURE 2 <br /> <br /> 5a18 DANIEL ST S <br /> SALEM 978~6 WK 588-8585 SiTE NUHBER: <br /> PHONE: ~99-8877 VALUATION: <br /> <br />;WIDTH'. ~O~PTH; : AREA I UNITS'. ' IRREG. LOT; ', CORNER; <br /> 126 ; ~5' e.~18; AO ' NO ~ NO <br /> <br /> TYPE: HANUFACTURE~ STRUCTURE PER~IT OR APPLICATIO~ NO: 48488 <br /> CONTRACT?, HO,, <br /> FISH~R, FH~LLIP & KATHERINE <br /> 5818 DAHIEL ST S <br /> SAI. EH 97;e6 WK <br /> I HONE. <br /> <br /> ITEH QUANTZ'rY AMOUNT <br /> HANOFACTURE~ STF(UCTURE PLACEMENT/CONNECTION $182,88 <br /> MAHUFACTURED otRUCTURE STATE FEE <br /> MANUFAOTURED STRUCTURE STATE SURCHARGE $9.18 <br /> I:OTAL A~SESSED FEES $21 <br /> PREVIOUS RECEIPT~ <br /> THIS :RECEIPT $~. <br /> ' BALANCE ~UE , <br /> PAYEE: ~,NVOtCE <br /> RECEIVE~ BY: PB :: <br /> .............. :=~zS;_~E~ ................... 'TYPE: CHECK 8: <br /> ** TNIS IS A VALID PERMIT ** THIS PERMIT FEE COVERS ONE INSPECTION AH~ ONE <br /> EEZRSPECTZON. ALL ~LOCK~N~ STAIR iNSTALLATZON~ PLUH~ZN&~ MECHANICAL. AN~ ELECTRICAL <br /> CONNECTIONS ARE REBU~RE~ TO ~E COMPLETE~ UPON EEBUEST FOR THE FIRST INSPECTION, ~F <br /> ANY OF THE ITKHS ARE ZNCOHPLETE~ AN ADDITIONAL ~NSPECTION FEE WILL ~E <br /> PEEHIT IS VALZ~ FOE S~X ~ONTHS, ONLY. RENEWED FOR 6 ~DNTHS UPON ~R~TfEN REBUEST FOR <br /> AN EXTENSION, P~OR TO THE EXPIRATION ~ATE OF THE PERMIT. ~F CONSTRUCTION <br /> MEET ALL REaOZEENENTS OF STATE LAWS AND HARMON COU~Y ~U~L~IH6 AN~ ZON~N~ <br /> PLANN;[NG ACTION: <br /> SETBACKS: FR 2e <br /> LS-5 <br /> RS-5 <br /> <br /> f~A&ko. HS/AN= ALTERATION~ SEEPAGE TRENCHES FOR TWO BEDROOM MAXIMUM lxES,[DE, tqOE <br /> <br /> DONALD ER. WOODLEY,, HAF(:~ON COUNTY BUILDING OPFICZAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 RF=V, 4/90 <br /> <br /> <br />