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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 />Other <br /> <br /> OWNER; ................. <br /> <br />: ................ <br /> ~tJ ~,,V1LL. E OR ~7~2u BUHSV).LLE hO <br /> <br /> ~NOF~CTURED STRUCTURE 3 <br /> <br /> HILL CREEK ESTATES <br /> <br /> SITE NUMBER: 94-~GB57 <br /> <br />Yes NO <br /> <br />TYPE: NANUFACTURED STRUCTURE <br />CONTRACTO~ 1,10. 38238 <br />Daniel I... garret <br />11~7~ Mi],1 Creek Rd <br />Au~sville. 77S25-000e <br />PHONE: 7&9-7744 <br /> <br />PERMIT OR A?PLICATiUN HO: 53221 <br /> <br /> I'rEM <br />NANtJFAC'rURED STRUC'FIJRE PI.ACEMEN'//CONNECTIO~ <br />MANUFACTURED SI'RI JCl'URN STATE FEE <br />MANUFACTURED STRUCTURE STATE SURO4ARGE <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $182.00 <br /> $20.00 <br /> $9.10 <br /> <br />TOTAL A$SESSE~ FEES $211.10 <br />PREVIOUS RECEIPTS $211,1B <br />TH~S RECEIPT $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br /> REMARKS: HS, CARPORT <br />DONALD E,, WOODLEY~ MARION COUNTY BUI'L,,DING'OFFICIAL / BY <br /> <br /> PAYEE: INVOICE <br /> RECEIVED BY: F'M .......................................... TYPe: CHECK ~: 0 <br /> ** TH~S IS A VALID PERHIT **,THIS PERHIT FEE COVERS OflE IHSPECTION AND ONE <br /> REINSPECTION. ALL BLOCKINC~ STAIR INSTALLATION; PLUHBING, ~ECHANICAL. AND ELECTRICAL <br /> CONNECTIONS ARE REOUIRED TO BE cONPLETED UPOH REgUEST FOR THE FIRST INSPECTION. iF <br /> ANY OF THE ITKNS ARE INCSNPLE?E~ AH AB~IT?HAL iNSPECTiON FEE WILL BE R£QUIREB. <br /> PERHIT IS VALI~ FOR SIX HONTNS ONLY. REHEWE~ FSR ~ ~ONTHS UPON WRITTEN REQUEST FOR <br /> AN EXTENSION. PRIOR TO THE EXPIRATION BATE OF THE PERMIT. IF CONSTRUCTION FALLS TO <br /> HEET ALL REQUIRENENTS OF STATE LAWS AND HARIOH COUHTY BUILDING AND ZONINg ORDINANCES, <br />PLANNING ALTION,, <br /> SETBACKS~ FR._lO <br /> LS 25 <br /> RS-15 <br /> RR'"IO <br /> SP: ...... <br /> <br />FORM # MC 15-56 REV, 4/90 OFFICE- COPY <br /> <br /> <br />