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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 22,5 <br />220 HIGH STREET NE <br /> SALEM, ORPGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />lamaregisteredbullderOR( ) the authorized representative <br />of a registered builder. <br />The work will be performed by a registered builder, <br /> <br />this document. <br /> <br />SAUTTER, DON & JANET '~- ~ ~-"--~ RESIDENTIAL <br /> <br /> ~OMSVILJ,.E OR <br /> <br /> MANUFACTURED STRUCTURE <br /> <br /> ' HILL CREEl( ESTATES <br /> PHONE~C~9-7744ii SECTION: ,?OWNSH'~: ~ ~TION: / ZONE; 1 MAP <br /> <br />:L~6 60 YES YES <br /> <br />TYPE: t'.IANUFACTURE]) STRUCTURE <br />CONTRACTO,,R,, NO. 38238 <br />Dartiel L Carver <br />11~7,~ Mill Creek Rd <br />Aumsville, 97325-8000 <br />PHONE: 76~,.-7744 <br /> <br />PERMIT OR APPLICATION NO: 53219 <br /> <br /> ITEH <br />HANUFACTURED STRUC'FURE ~LACEMEMT/CO~NECT~ON <br />HANUFACTURED STRUCTURE STATE,FEE <br />MANUFACTURED STRUCTURE STATE SURCHARGE <br /> <br />PAYEE." <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUSRECEIP~S <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $182.~ <br /> $20.00 <br /> $9.10 <br /> <br />$211.18 <br />$211.18 <br /> $0,00 <br /> <br />BALANCE DUE $0,, 00 <br /> <br />IHVOICE <br /> <br /> REOEIVED BY: F'M TYPE: CHECK ~: 0 <br /> 3~ THIS IS A VALID PERHIT ~,THIS PEEHIT FEE COVERS OHE INSPECTION AND ONE <br /> REZNSPECTIOH. ALL BLOCKIHG, STAIR IHST~LLATZOH~ PLUNBING, HECHAHZCAL. AH9 ELECTRICAL <br /> COHHECTIONS ARE ~EQUZRE~ TO BE COHPEETE~ uPO~ R/gU~T FOR THE FIRST INSPECTION. IF <br /> ANY OF THE ZTEHS ARE INCONP~TE. Afl AB~II'[ONAL IHS~CT'IDN FEE WILL BE REQUIREg. <br /> PE~ZT iS VALZ9 FOR SiX.HONTHS ONLY. REHE~EB F~ &NONTNS UPON WRITTEN REQUEST FOE <br /> AN EXTENSION~ PRIOR TO THE EXPIRATION DATE 'OF THE ~RHIT. IF COHSTEUCTION FALLS TO <br /> ~EET ALL REGUIREHEHTS OF STATE L~S AND HANZON COUNTY BUiLD,NC AND ZQNIN~ OR~INANCES~ <br />PLANNING ACTION. <br /> <br /> REMARKS: MF6 HOi'IE,¢ CARF'ORT <br />g, ONALD E,, WOODI_Ey., i~ARION COUHTY BUILDING oFF/c:[AL / BY <br /> <br />SETBACKS: FR 44 <br /> LS""10 <br /> RS-15 <br /> SP- <br /> <br />-'OBM # MC ~-se Bev, ,~ OFFICE COPY <br /> <br /> <br />