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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: 58875147 8:00 - 4:30 <br />24 HOUR CODB-A-PHONE: 588-7904 <br /> <br />ADDRESS; <br /> <br /> ~MSV,[( O.E <br /> <br />TYPE: MANUFACTURED STRUCTURE PERMIT OR APPLICATION <br /> <br /> ~) D .:Ul L'~,Van <br />2238 N ]":'~ c: J '¢ i c HW% <br />SPECTJ:ON AND ONE <br />FI'"!OW.'; = <br /> <br /> :( TEH <br />HAJ,Eff;AC]UREI) STRLICTURF PL.A~,~::.~,E,N /~,,O,4NE.~,I I <br />HANUFACTURE~ S'rRUCTURE olA,~: FEE <br />~4ANUFAC'TURED S ~(,I[,TLM'.pl~ ,," SURCH~R{;E <br /> <br /> ,, TOTAL ASS~SSED FE, E,~ <br /> PR~V);OU~; RELLII T. <br /> THIS ~ECEIPT <br /> <br />54421 <br /> <br />QUANT:ITY AHOON'¥' <br /> $20.00 <br /> <br />$211 ,, _re <br /> <br /> I'N¥OICE <br /> <br />REI~¢PECTiON. ALL BLOCKIN¢:~: STAIR IHSTAELATIQH; PLUMBinG, MECHAHZOAL. AND ELECTRICAL <br />CONNECTIONS ARE REQUIRED TO BE. COHPE:ETED UPOW RESULT FO~ THE FIRST INSPECTION. IF <br />ANY DF THE ITE~ A~E INCOMPLETe. AN A~DITIONAL I~PECTIO~ FEE WILL BE RE~UIRED. <br />PER~IT tS VALID FOR SIX: ~ONTHS ON[~. ~E~EWED FOR 6 MONTHS gPO~ WRITTEN REQUEST FOR <br />AN EXTEWSION~ PRIOR TO THE EXP!~ATI~W DATE OF THE PERHIZ. IF CQNSTRUSTION FAILS TO <br />M.EET At.L ~EQgT:RE~ENTS OF STATE LAWS A~D ~ARION COUNTY BUILDING AND ZG~IN~; ~RDINANCES~ <br /> <br /> SETBACKS~', FR 18 <br /> LO'" 15 <br /> <br /> I~l:~"- ;. (~ <br /> <br />FORM # MC 1 §'06 R~V. 4/~1 OF FI,OE COPY <br /> <br /> <br />