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MARION COUNTY BUILDING INSPECTION SENATOR 8LDG, NO. 225 220 HIGH STREET NE SALEM, OREGON 97301 PHONE: 588-5147 S:O0 - 4:$0 24 HOUR CODE-A-PHONE: 588-7904 i am a registered builder OR ) the authorized representative SIGNATURE OF APPLICANT: ................. of ~ registered builder, The work wil~ be Derformed by a registered builder, Other t have read and agree to the terms stated on the reverse side of DATE; ................................... this document. ................................. ;,;; ~ITU$ AOORE$$'. CONSTRUCTION TYPE; J OCCUPANCY; 227 9ELLEVUE AU~SVILL. E OR 97325 ~j~': ............ ~ ~b~66~kNT LOAD~ US~ ................................................................................................................................................... OF ~u~t~iUir~CTU~E~ ~Xi'cih~ ~66ff~ff~;ll$7~ ................................................ ~ILk CQEEI< ~D ~ ...... ~6~". ......................... ~~ ......................... r.umr;. /0~-I1~ j j VALUATION: T~'PE.- HANUFACTURED STRUCTURE PERHIT OR APPLICATTOH NO; C,,0,NTRACI'0R, NO. 9894~ Capitol Awning ~18 Vallezwood Dr SE PHONE: 36~*.1711 I'r~ H~NUFACTUEE~ STRUCTURE P~CEHENT/CONNECTION HANUF~CTURE~ STRUCTURE STATE FEE ~ANIJF'ACTURE~ STRUCTURE S~ATE~ SURC PAYEE: Capitol ~wning RECEIVED BY: PM;' * THIS IS NOT A PERHZT. FOLLOHIHG HUST THAT ALL NECESSARY FEES QUANTITY AMOUNT $182.88 $9.10 $211.10 $0.00 $211.18 $8.00 INVOICE 57627 IN CHECK ~: 0 REVIEW PROCESS WHERE THE APPLICANT TO ASSURE PLAN REVIEW~ 9Y_._~'~ .... ZONING: BY CITY JLIRIS~ICTION~ R,,,HAI'¢K$. NS. CARPORT SETBACKS= FR 10 R$-'15 ER""15 SF'Z ........ FORM # MC 1 $.~ RiEV, 4/eO OFFICE COPY