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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HiGH STREET NE <br /> SALEM, QREGON 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 /> <br />The work will be performed by a registered builder, . <br />Other <br /> <br />iOWNER" ~, - · RESIDENTIAL <br />· :)AN FI, AH HOMES <br /> <br /> ..~ CONTRACT ~ITY; [ UGh'. OCCUPANT LOAD'. <br /> :l.;58 C$RHEL DR <br /> AUHSVIL. LE OR 97~25 AUHSVILLE <br />; ............................................................................................................................... ~ ~8 '6; ~dS~: <br />US~ OF BUILDING; <br /> H~NUF~CTtJREI~ STRLICTURE <br />~AI[,IN6 ADDRE~8; ................................................. ~DIVISION; <br />~ ~ 1~ MILL C~EEK: RD J . <br />~ ~UMSV3'I LE,, 8R~ 97~25 / SITE N~M~EE. <br />, PHONE:' ~76g-7744 ' ~ VnLUATION: <br /> . <br /> <br /> /~TH; JDE~: ~ AREA; j UNITS'. IRREG, <br /> 55 84 4620. NO j <br /> <br />TYPE: HANUFACTURED STRUCTURE <br />CONTRAC'fOR.~ NO,. :;58238, <br />Dar'riel L Carver <br />11~7~ H:i. ll Creek Rd <br />Aumsville~ 97525-0000: <br />PHONE: 769-7744 <br /> <br /> [TEfl <br />MANUFACTURE~ STRUCTURE: P~ACEMENT/[ <br />MANUFACTURED STRUCTURE ~TE FEE <br />MANUFACTURER ST~UCTURE~ <br /> <br />PERHIT OR APPLICATION NO: 51~1 <br /> <br />QUANTITY AMOUNT <br /> $:L82.00 <br /> <br /> $9.10 <br /> <br />$~,.11.10 <br />$211.10 <br /> $0.00 <br /> <br />$0.00 <br /> <br /> PAYEE: <br /> RE:],r."'ZV!'i~) 0¥:: /iR <br /> <br /> CONNECTIONS A~E <br /> ~HY OF THE ~TEH~ ARE <br /> PERMIT I8 VALIB FOR SI:X <br /> AH EXTENSION. PRIOR T0 <br /> ~EET ~LL REQOIRE~ENTS OF <br />PLANNING ACTION: <br /> <br />REMARKS: <br /> <br /> ONAND ONE <br />MECHANICAL. AND ELECTRICAL <br /> F~RST ~NSPECTID~. ZF <br />~ILL ~E REOUIREB. <br />UPON WRITTEN REQUEST FOR <br /> CONSTRUCTION FAILS TO <br /> AND ZONIN~ ORgINANCES, <br /> <br /> '~;~ SETBACKS: FR 11 <br /> LS-10 <br /> RS"'10 <br /> RR""10 <br /> sP:' ......... <br /> <br />FO~ # MC ~-~ R~V. 4mo OFFICE COPY <br /> <br /> <br />