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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 ( )theauthor}zedrepresentative <br />Other~ <br /> <br /> AU~SVZLLE OR 97;25 ~UMSVZLI_E ~NO <br />~E OF B'~ILDI'NG; , N~ OF BEDROOMS <br /> <br /> MANUE~CZU~E~ STRUEYU~E <br /> <br /> 1:(~ ~ILL gREEK R~ ~E <br /> ~UHSVI[,,LE~ OR 97325 SITE NUMBER: 94-e2627 <br /> PHONE: 769-7744 VALUATION: <br /> <br /> ~ ~ ; r I <br /> <br />TYPE: HAHUFACTURED STRUCTURE PERHIT QR APPLICATIOH NO: <br />CONTRACTOR~ NQ ?8?48 <br /> C~pitol Aj~r~g . ~ <br />518 Val.l~'S~uood-~r SE ~ ~/_.~.~' ) <br />Sate~/ 9730~ <br /> <br />ITEM <br />MANUFACTURER STRUCTURE PLACEMENT/CQNNECTION <br />MANUFACTURED STRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE STATE SURCHARGE <br /> ToTALAsSESSEB FEES <br /> PREVIOUS RECEIPTS <br /> THI~ <br /> , BAEAWCE:~UE ' <br />PAYEE; <br /> INVOICE <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $182.0e <br /> $20.00 <br /> <br />$211,,10 <br /> <br /> ~ THIS IS A VALID PERMIT ~$ THIS PERHIT FEE:CoVERS ONE INSPECTION AND ONE <br /> REIHSPECTIQN. ALL HECNAN~C~L. ~ND ~LECTRIC~L <br /> C~NNECTISNS ARE EEQUIRE~ TOBE'~ONPLETE~ UPON:R~QUEST FOR THE FIRST INSPECTION. IF <br /> ANY OF THE ITEHS ARE INCDHPLETE~AN::ADDITIQMAL:ZHSPECTIONFEE ~iLL BE REQUIRED. <br /> PERHIT ~S YALI~ FOE SiX FDR&.HUHTHSUPOH ~RITTEN REQUEST FOE <br /> AN EXTENSION. PRIOR TO THE EXP~RAT[ONDATEOFTHEPERH[T. IF CONSTRUCTION FA~LS TO <br /> MEET ALL REQOIREHENTS OF STATE LA~S. AHDHAR[QH COUNTY BUILDING AND ZONING ORDINANCES, <br />PLANNIN~ fiCTION: : <br />SETBACKS~ FR 10 <br /> LS-15 <br /> <br />REHARICr,;: HS~I <br /> Iii:il WOOOL,,iY~ HAR:[ON COUNTY BUIL~)IN~ OFFICIAL <br /> <br />R0-5 <br />RR""iO <br /> <br />COPY <br /> <br /> <br />