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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 />of a registered builder, <br /> <br />Other <br /> <br />SITUS ADDRESS: OONST~UCTION TYPE; <br /> ~U~SVIL. LE DR :97325 gUflSVILLE J_ NO <br /> <br />MAILING ADDRESS: <br /> <br />221G SE ,)OTH <br />ALBANY, ~R 97321 <br />PHONE: 926-6454 <br /> <br />SITE NUNDER~ 94~S2~18 <br />VALUATION: <br /> <br /> C6Y .................~E~D~? .................... [~6~-'~---~NSHIP" C~F ............. I ZONE I ~AP: <br /> <br />;-~.--~ ..............· ...................... ¥-~ .... =--~---~ .............. ~--2W ................... ~ .......... i ai <br />L ................... ............. ..... ..................... .................... ............ <br /> <br />TYPE: HANUFACTURED STRUCTURE PERNZT OR APPLICATION NO: <br />CONTRAC'rOR, NO. 9894B <br />gap~t'ol Awning <br />518 Valley~ood"Dr SE <br />Sale~, 77~86 · <br />PHONE: 3634711 <br /> <br /> iTEN <br />H~NUFf~CTURF=9 STRUCI'IJRE PLACEHENT/,,iC,0NNECTTON <br />HAN~JF'ACTURKD STRUCTURE ~TATE FEE,~,,Y'~; <br />MANUFACTURED SI'RIJC'I'UF(E STATE SURCHARGE ';,. <br /> <br />SS213 <br /> <br />ASSEBSED FEE~ <br /> 'TS <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $182.~0 <br /> $20.00 <br /> $9. I0 <br /> <br /> $211.10 <br /> $211.10 <br /> $0.00 <br /> <br /> $0.00 <br /> <br />PAYEE: INVOICE <br />RECEIVED BY~ PB CHECK :B: 0 <br /> <br />AND ONE <br /> <br /> ** THIS IS A VALID PERH] <br /> REINSPECTIOH. ALL <br /> CONNECT[OHS ARE REOU: <br /> ANY DF THE ITEHS <br /> PERHIT IS VALID FOR <br /> AN EXTENSION. PRIOR., <br />· NEET ALL REQUIREMENTS <br />:FLAHNING ACTION: <br /> <br /> AND ELECTRICAL <br /> DH. IF <br />iFEE ~[LL BE REQUIRED. <br /> UPON MRiTTEH REGUEST FOR <br /> [:F CONSTRUCT[ON FAILS TO <br /> AND ZOHIN~ ORDINANCES, <br /> ':' SFTBACKS: FR 10 <br /> <br />FORM # MC ,~-~e nsv, ~/~ OFFICE COPY <br /> <br /> <br />