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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: SS8-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />o¢ a registered bullder. <br />The work will be performed by a registered bultder, <br />Other· <br /> <br />have read and agree to the terms stated on the reverse ~ide of <br />rfds document, <br /> <br />OWNER: ~;. <br /> <br /> CHALUT, DENHIS I RESIDENTIAL <br /> <br />SITUS ADDRESS: ] CONSTRUCTION TYPE: i OCCUPANCY: , <br /> <br /> ~ R-3 <br /> 117 CARMEl,, DR -- 4.,I CONTRACT OlTYi ! UO~ 1OCCUPANT LOAD: ,-~ <br /> <br /> AUNSVILI.,,E OR 97;~2~ ] AUMSVILLE NO <br /> <br /> MANUFACTURED STRUCTURE <br /> <br /> ~ SITE NUMBER: <br /> PHON[: 762-4~16 ~ VALUATION: <br /> <br />TYPE.' NARUFACTURFD STRUCTURE <br />CONTF~ACTOR, NO. 38238 <br />Daniel L CerYer <br />1].373 Mill (:reek Rd <br />Aum~vi 1 le.. 9732,~-M000 <br />PHONE: 76~-7744 <br /> <br /> I'rEM <br />MAHUFACTURE9 STRUCTURE RL. AOENEN'r/CONNECTION <br />MANUFACTUREQ STRUCTURE BTATE FEE <br />MANUFACI'ORE~ STRUCTURE STATE SURCHARGE <br /> <br />PERMIT OR APPLICATION NO: 53388 <br /> <br />PLANNING ACTION: <br /> <br />QUANTITY AMOUNT <br /> $I82.00 <br /> $20.00 <br /> $9.16 <br /> <br /> TOTAL ASSESSED FEES $~11.10 <br /> :PREVIOUS: RECEIPTS : $211. <br /> :THIS RECEIPT $0.00 <br /> <br /> INVOICE <br />~iAYEE: <br />RECEIVED BY: DM2 ::: : :' TYPE: CHECK ~: 0 <br /> <br />RE~N~PECTIOH. ALL ~LOC[~H~;~ :STAIR IHS~[~T:~ON~ ,~EUH~HG:~ ~:HECH4N~CAL~ AND ELECTRICAL <br />CO~HECT~OHS ARE REOU~REB: ~':~E: ~HE FIRST ~R~PECTIDN. <br />ANY OF THE ITEMS ARE INCOMPLETE; AH 'ADSZ~IONAE' I~C~:IOH FEE WILL BE REQUIRED. <br />PERMIT IS VALID FOR SIX MONTHS DHLY:, ~HEWE~ FOR.6::HOHTHS UPON WRITTEN REQUEST FOR <br />A~ EXTENSION. PR[OE TO THE EXP~R~T~OH ~A~ GE T~: PERH[T, ~F COHSTRUCTION FA[LS TO <br />~EET ALL EEGU[REHEHTS DF STATE LA~S ~:: HRR[OH COU~Y' ~U[LO~H~ AHD ZON~flG <br /> SETBACKS: FR <br /> LS'~15 <br /> <br /> REMARKS." MS~ CARPORT , <br /> <br />DONALD E. WOODL. EY. MAI~ION COUNTY BUILDING OFFICIAL, / BY <br /> <br />~v. 4/~ OFFICE COPY <br /> <br /> <br />