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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 />The work will be performed by a registered builder, <br />Other_ <br /> <br />=: OWN ER' ) ~ ~'E ~ 8 7/¢L~,/4~4 ..... T-ii ME ~ :1;3 ~ ~ 7 [ ~'J ........ i COT; ....... i CATEGORY <br /> <br />'. WOOSLEY~ ~LI..E~ & K~Y 61272:e08 iBESIDEN:[~AL <br />=[ S~TUS ADORESS: = CONSTRUCTION TYP~; ~ OCCUPANCY: <br /> <br /> 12235 ~E;ST ST~YTON <br /> AOHSVILLE OR 97'325 ~l~RZON COUNTY jR8 , , <br /> <br />i , MABUFACTURED._ S~BUC~UBE ...................................... <br />~ILI~ ADDRSSS; ~ SUBDIVISION; <br /> <br /> PHONE;; 769-324L ~ VAI. IJATION: <br /> <br />TYPE: HANUFACTURED STRUCTURE PERMIT OR APPLICATIOH HO: <br />COHTRAC'rQR~ <br />WOQSLEY~ AI..LEN & KAY <br /> <br />$5891 <br /> <br />PHONE: 767-,~24L <br /> <br /> ITEM <br />MANUFACTURED STRUCTURE PLACENENI/CONNE£TION <br />MANUFACTURED S~RUCTURE STATE FEE <br />MANUFACTURED STRUCTORE STATE SURCHARGE <br />MANIJFACTURED STRUCTURE ZONING. SURCHARGE <br /> <br />TOTAL. ASSESSED FEES <br />PEEVZOUS RE~EZPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AHOUNT <br />$i82.80 <br />ih20.08 <br /> <br /> $15.80 <br /> <br />$226.10 <br />$226.10 <br /> $0.00 <br /> <br />BALANCE ~UE, $0.00 <br /> <br />PAYI;E: RECEIPT <br /> <br /> RECEIVED BY: PB ................................... TYPE: CHECK ~: 0 <br /> <br /> A* TH[S IS A VAL/D PERHIT *$ THIS PERMIT FEE COVERS ONE INSPECTION AND ORE <br /> REIHSPECTION. ALL BLOCK[flE~ STaIR, INSTALLATION. PEUMBJRG, HECHANZCAL. AND ELECTRICAL <br /> CONNECTIONS ARE REQUIRED TO' ~E COMPLETED UPON REOUEST FOR'THE FIRST iNSPECT~BH. <br /> ANY OF THE ITEMS ARE INCOHPLE'T[. ~HABDZTIOHAL INSPECTION FEE ~ILL BE REQUIRED. <br /> PERMIT IS VALID FOR SlX MONTHS ONLY. RENENED FOR 5 ~ONTHS UPON UR~TTEN REQUEDT FOR <br /> AH EXTEHSiOM. PRIOR TO THE EXPIRATION DATEOF THE PERMIT. IF CONSTRUCTION FAILS TO <br /> MEET ALL REQUiREMEHTS OF STATE L~S,~HD'iM~RZON COUNTY BUILDING AND ZONING ORDINANCES, <br />PI.ANNING A[,TION, <br /> '" = ...... SET~ACKS: ER 20 <br /> [.S-20 <br /> RS'"20 <br /> PR-20 <br /> SP <br /> FEHAkK,?~ NF6 NOHE APPRSVE~ AS REF!LACE~ENT DBELLZNfi OHLY~ EXISTING MF6 NOHE"~OST ~E <br /> RI.MOVED <br /> ~ONALD E,, BO[)~L. EY~ MAR~OI'! COUHT¥ ~U~L~NG OFFiCiAL / ~Y .......... ' <br /> <br />OFF]CE COPY <br /> <br /> <br />