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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 />I am a registered builder OR ( ) the authorized representative <br />Other <br /> <br /> ~,f~"rc. ,~-~/9'z/~ 'r~740. t¢~:2,2~.02 .............................................. , <br />'-~l~/iq~R,."*'1 ....................................... ; TAX LO'f; iGATBGORY: i <br />~ JOHNSON,, BILLY [; i ;)690.~;-000 ! I~E'!~I:OE;N"FIAI,. <br />["~¢TOS~ORSSS: ~ CONSTRUOTION TYPE: ~ OCCUPANCY'. <br /> , i .................................... <br />~ A JHBV'[i LE OR 97~25 ~ MARl;ON COUIqTY NO <br /> ....................................................................'- ' NO OF 8EOROOM$ <br /> <br /> HhNbl hCTU~E,~ S-fRUCTU~E <br /> <br /> ~Z~= N~TION~L CT <br /> I::'HONE~ ;~64-5458 VALUATION: <br /> <br />TYPE: HANUFACTURED STRUCTURE <br />cONrRAC,[IR. NO,. 70085 <br />I_,arFy L ~rple EnteFpr~.ses <br />9~5e SE 82nd Aw~ <br />Por~rland~ ~7268'-~8g~ <br />PHONE: 777-8228 <br /> <br />PERMIT OR APPLICATION <br /> <br /> I'fEH <br />fiAIqUFACTURED o'lkt Cl IRE F'LAf:;EHENT/CUNNEC. TION <br />HANUFACTURED STRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE STATE ~URCHAI)GE <br />MANUFACTURED STRUC'rurqE ZONIN6 SURCHARGE <br /> <br />QUANTITY <br /> <br />TOTAL ASSESSE~ FEES <br />PREVIOUS R~CEIP'rS <br />T -IIS EC IFT <br /> <br />F'LANNINF. A£,f J, ON, <br /> <br />AHOLJNT <br /> $282.0g <br /> $20.00 <br /> <br /> $15.00 <br /> <br />$226.10 <br /> ~0,,00 <br /> <br />SETBACKS: F'R L.q ......... <br /> F(S ........... <br /> <br /> SP <br />DRY SOIL. OIqL,'¢';: ........ <br /> <br />FORM # MC 15.58 REV. ~/~0 <br /> <br />OFFICE COPY <br /> <br />MS,¢ SS~ EL,,, F'~,,. PRESSURIZED D;I:ST/CAF'PIN6 F]:LL SEPTIC,, <br />WC)Ot)LEY,~ gAF(ION COUNTY BUIL, I)ZNG OFFICIAL / BY <br /> <br /> R ...HAM~ <br /> <br />/)Ot,!AL D ':: <br /> <br />** THIS IS A VALID PERMIT 8. THIS PERMIT,FEE COVERS ONE iNSPECTION AND SHE <br />REINSPEOTiON. ALL BLSCEING~ 'STAIR INSTALLATION.,PLUNBIN~, MECHANICAL. AND ~LECTRICAL <br />CONNECTIONS ARE REQUIRED TU BE,CONPLETED;~PONREOUEST FOR, THE FIRST INSPECtiON. tF <br />ANY OF THE ITEMS ARE IN8ONPLETE~ 'AN ADDITIONAL INSPECTIOH FEE WILL BE REQUIREB. <br />PERMIT IS YALI~ FOR SIX MONTHS ONLY. RENEWED FOR 6 MOWTHS UPON WRITTEN REQUEST FOR <br />AN EXTENSION~ PRIOR TO THE EXPIRATION DATE OF, THE PERMIT. IF COHSTRU~TIUM FALLS TO <br />HEET ALL REQUIREMENTS OF STATE LAWS AND,MARION COUHTY BUILDIN~ AND ZONING ORDINANCES. <br /> <br /> <br />