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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 />ct a registered builder, <br />The work will be performed by a registered builder. <br />Other <br /> <br />.......... CAMF BE Lb .I~iOMES ................................................................... RESI, I)~NTIAL <br /> ~UHSVII.I,.E OR 97325 AUHSVILLE ~ NO <br /> <br /> -H~EI-,,.,,CREEK--ES-¥A,~ES ............. <br /> SQUIRREL HILL RD <br />SALEM~ OR ~7~6 SITE HUHBER: 94-~2558 <br />PHOHE: 375-8234 VALUATION: <br /> <br />TYPE~ MANUFACTURED STRUCTURE <br />CONTRACTOR~ NO. 9254~ <br />CAMPBELL HOMES <br />~911 SQUIRREL HILL RD <br /> ALEM~ ~7~06-'0800 <br /> <br />PERNIT OR AP~ICATIUN NO: 56188 <br /> <br /> ITEM <br />HAHUFACTURE9 STRUCTURE PLACEHENT/COHNECTION <br />MANUFACTIlRE~ STRUCTURE STATE FEE <br />MANUFACTURE9 STRUCTURE STATE SURCHARGE <br /> <br />TOT'AL'ASSESSE~ FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br />BA~ANCE:~UE <br /> <br />QUANTITY <br /> <br />PAYEE: INVOICE <br /> <br />AHOONT <br /> $182~06 <br /> $26.68 <br /> <br />$211.16 <br /> <br /> $0,00 <br /> <br />$0.00 <br /> <br /> REINSPEC~ION. ~LL ~LOSKIN~i:;,:,::STAIRINSfA~ATION. PLOMRIN~:,~EC~ANISAL. AN~ ELESTRICAL <br /> CONNECTIONS ARE REQUIRED TO,i~ECGHPEETED"UPON REGUEST:":FOR¥:TNEi FIRST INSPECTION. IF <br /> ~IY OF T~ ~TEHS ~RE ~H~HPEETE~ ~;,A~9~'TID~L~'I~CT~ON:FEE ~[LL ~E REGU~RED. <br /> PERHIT iS V~LID FOR SIX & HONTHS:UPOH ~RITTEH REQUEST FOR <br /> A~ EXTENSION. ~IOR TO THE EX~RAT~ON'i~OF THE'~RHIT~::IF COHSTRUCT~OH FAILS TO <br /> ~EET ~L REO~IREHEHTS ~ A~ ZOH[~ ORDINalS, <br />PLANNING ACTION: :':: ::.,~: <br /> , SETBACKS: FR 18 <br /> LSZ15 <br /> RS 15 <br /> <br />REMARKS: MFG HOME <br />~ONALI) E. WOODLEY,~ <br /> <br />MARION COUNTY BU'rLDIN60FFIC'IAL / BY <br /> <br />FORM # MC ~5.~6 REV, 4/90 <br /> <br />OFFICE COPY <br /> <br /> <br />