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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLOC, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97501 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 586-7904 <br /> <br />I am e registered builder OR the authorized representative <br />The work will be perlormed by a registered builder, <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document. <br /> <br /> SAI,ITIAM HOMES I [ RESIDENTIAL <br /> ~ i <br /> <br /> AUHSVIL[..IE 0R 97~25 ~AU~4SVII.,LE ~ N0 <br />................................................................................................. L ...................... J ........................... <br /> HANUFACTUR[~ ~TRUCTURE ~ <br /> <br /> 11~73 HILL CREEK RD i <br /> AUMSV~LLE. OR m7325 , ; SITE HUHB~R: <br /> PHONE. 7~-7744 ] VALUATIOM. <br /> <br />__~8~ ~ ...................... ~. __~ .... ~..8S ~_~ .............. ~.__R~ ............... ~51 <br /> ................ J ............ <br /> <br />TYPE: MANUFACTURED STRUCTURE <br />COt,ITRA,P.,,'FOR~ biO. 42256 <br />De], ~cCol"mzc k <br />518 Val:l.e~wood Dr SE <br />PHONE. 36~-1711 <br /> <br /> I TEN I <br />MANUFACTURED STRUCTURE PL:ACEMEliT/C <br />MANUFACTUREB STRUCTURE S~ATE EEE <br />MANUFACTURED STRIJCTUF(E STATE <br /> <br />PAYEE: <br />RECEIVEI) BY." F'B <br /> <br />PERMIT DR APPLICATION <br /> <br /> $$ THIS IS A VALID <br /> REIHSPECTIOM. ALL <br /> CORHECTiONS ARE <br /> ANY OF THE iTEMS ARE <br /> PERMIT IS VALID FOR SIX <br /> AM EXTENSION. PRIOR TO THE <br /> MEET ALL REQBIREHEHTS OF <br />PLANFIIN~ flClION. <br /> <br />REMARKS: <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $182,,00 <br /> $20.00 <br /> $9.10 <br /> <br />$211.10 <br />$211,10 <br /> $0.80 <br /> <br />INVOICE <br />CHECK $: 0 <br /> <br />AND ONE <br /> <br />,]:HECRANICAL. AND ELECTRICAL <br /> IHSPECTION. IF <br /> BE REQUIRED. <br /> :iUPOH ~RITTEN REQUEST FOR <br /> CONSTRUCTION FALLS TO <br /> AND ZONIN~ ORDINANCES~ <br /> <br /> SETBACKS: FR 10 <br /> L~-15 <br /> RR-15 <br /> <br />I)UNAL, D E.,-WOODLEY,~ HAI:;:ION coL)~i'TY 8~": 'r <br /> ILD N~' OFFi~'iAL .......................................................... <br /> <br />OFFICE COPY <br /> <br /> <br />