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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 />l am a registered builder OR ( ) the authorized representative <br />of a registered builder, <br />The work wHI be Berformed by a registered builder. <br />Other ....... <br /> <br />I SlTUB AI~E'~~'~ ~F.~.fP{' ~CONSTRUCTION TYPE: ~' ~ Z~L- <br /> <br /> $2~ ASPEN DR -- 12 , <br />~U~E OF BUILDING: ~ ~NO OF BEBROOMS: <br /> <br /> ........... ; 3 <br /> ~A~u.e *D~¢~. ....... <br /> <br /> ,:~grJOLI._.> FERRY IICI) <br /> <br />LOT; BLOCK; SECTION; i ~TOWNsHIP'. Ir RANGE; ZONE: : MAP: <br /> <br />TYPE.- HA?,IUFACTURED STRUCTURE <br /> <br /> Cal~:,,']~',~,t. Awnzng / S,~n't-iGm Homes <br /> <br /> ]:TEN <br />HANUF A{,.TUI~[iD STRUCTURE F LACEHE q F/CONNEC TIO 4 <br />~ANU]:ACIFIJRED STRIJCTUR~J S't'~T~ FEE:] <br />MANUF'ACTURE~ g'f'RUCTlg:{l~:; STATE SURChAK6E <br /> <br />PERMIT DR APPLICATION NO: <br /> <br />]: ::: !::'fOTALASSESSED FEE~ <br /> :PREVIOUS RECEIPTS <br /> <br />5727M <br /> <br />QUANTITY <br /> <br />INVOICE <br />CHECK ~:'.' <br /> <br />¢182. <br /> <br /> THIS IS A VALID PER,tIT]: *~ THIS: BERNI:T ~EE: CO~ERS ONE INSPECTIBN AND ONE <br /> REINSPECTION. ALL INST~LL~TION~ PLUMBING,: MECHANICAL. AND ELECTRICAL <br /> C~HNEgTZOflS ~RE REGUIEE~ TO;BE'CONPLE~ED UPBN RE,BEST FGR THE FEAST [NSPECTZON. <br /> ~NY OF THE iTEHS ARE IHCO~PLETE~ rN ~DtTION~L IHS~CTIOH :FEE ~ILL ~E EEGUIRE~ <br /> PE~NIT IS V~LZ~ FOR SIX NONTHS ;Ofl[Y.::~ EENE~E~ FOE 5 HONTHS UPON ~RITTEN REQUEST FOE <br /> EXTENSION. PR[BE TO THE EXPIRATION D~TE OF:THE PEENEd. IF CONSTRUCTION FAILS TO <br /> <br /> / <br /> : :': · SETBACKS: FR 27 <br /> <br /> ---.. <br />TXg:".t~t..D IF, kK'}ObL]:;Y~ NA'~ION COUNTY BI~II~DIt,I[:; OFFICIAL / BY zr ............................ <br /> <br />OFFICE COPY <br /> <br /> <br />