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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 />I am a registered builder OR the authorized representative <br /> <br />The work will be I~edormed bY a reglslered builder. <br />Other_ <br /> <br /> .0~ .... CONSTROC~ION TY"E: , OCCUPANCY: <br /> <br /> 18837 STAYTON ED SE' ~ I'5~'. ~,6CCO~A~ Lo*o <br /> AUHSVIL, L.E OR 97325 ~ARION COUNTY ~0 ~ <br />.............. ............................................................. : <br /> <br /> 916 hi BIRCH C/O DENNIS OL$ON <br /> ~TAYTON,, 0R~ 7738;'~ OITE NUMBER: 74-t~4&31 <br /> FHONE: 769-5888 VALUATION: <br /> <br />LOT: aLOCK: ~SEOTION'. [TOWNSHIP; ( ~ ~ <br /> m <br /> <br />TYPE: NAHUFACTUREi) STRUCTURE PERHIT OR APPLICATION NO: <br />CONTrACTOr<,. 1,10. <br />CHUF(CN OF GOD OF PROPNECY <br />?',l.& N BIRCH C/O ~ENNIS OLSON <br />STAYTON,~ OR~ 97383/ -- <br />PHOHE: 'Z69-o988 ~-- ~ . <br /> , , . <br />NANUF, ACTURE~ STRUCTURE STATE FEE <br />MAblUFACTUREO SIRUCTIJRE o1ATE SURCHARGE <br />MANUFACI'URED STRUCTURE ZONING SURCI.IARGE <br /> <br />'FOfAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />')'HIS RECEIPT <br /> <br />&8182 <br /> <br />QUANTITY AMOUNT <br /> $182,,00 <br /> $20.80 <br /> <br /> $15.00 <br /> <br />$226.10 <br />0..~6,,10 <br /> $0.00 <br /> <br />BALANCE DUE: $0.00 <br /> <br /> PAYEE: RECEIPT <br /> RECEIVE~ BY: DF TYPE: CHECK ~: 0 <br /> $$ THIS ~0 A VALI9 PERMIT ~ THIO PERHIT FEE COVEESONE INOPECT~ON AN~ ONE <br /> REIHSPECTtON. ALL BLOCKINg, ~TAIR .INOTALLATION, PLUHBIN~ HECHANICAL, AN~ ELECTRICAL <br /> CONNECTIONS ARE REBU[RE~ TO ~ECONPLETE~ UPSN REgUEST: FOR THE F[ROT INSPECTION. IF <br /> ANY OF THE ITEHO ARE INCOMPLETE, AN A~IT[OH~L IflOPECTI8N FEE ~ILL <br /> PERHIT IS VALID FOR OiX HONTNS ONLY. 'RENE~ED FOR & MONTHO UPON ~RITTEN RE~UEOT FOR <br /> AN EXTENSION, PRIOR TO THE EXPIRATION DATE OF THE PERMIT. ZF CONOTRUCTION FAILO TO <br /> NEET ~LL REgOIRENENTO OF OTATE LA~O AN~ N~RION COUNTY ~UZLgIN6 AN~ ZONIN6 OR~INANCES~ <br />PL~NNZNC ~C'TZON~ ' <br /> <br />REHARKS,~ NS ,E,,'EF'LACEMENT; HOVING OFF2 B])~M REPLACING W/1 BI)RN <br /> BE: RENOVEI) UPON PLACEMENT OF NEW tfDBILE HONE <br />:DONALD I:,., WOOI)I,,,EY~ MAR.lOll COU~ITY BUI[B~:NG:OF!FICIAL / BY <br /> <br />SETBACKS: FR 40 <br /> L8'"20 <br /> RS""/ <br /> RR"'20 <br /> SP'" <br /> $EXIST~'-~O~ILE M./ST <br /> <br />OFFICE COPY <br /> <br /> <br />