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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, ORr=GON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> of a registered builder, <br /> The work will be performed by a registered builder. <br /> Other_ <br /> <br /> 321 ASPEN DR -- <br /> AUM~VILLE O~ 973~5 ~W~ ~'~ <br /> <br />b~'dF ~dmC~UPACT ~RE~' '~T~C'TUEE <br /> <br />MAILING ADDRESS; i ~uI~I~(LN; CREEK ESTATES <br /> 11373 MILl_ CREEK RI) , <br /> AQMSVILLE,OR 77,t2§ '-.: S-t TE..-N~BER~-----~8445~ <br /> PHONE: 769-7744 ~. VALUATION: <br /> <br /> 60NI'RACTOR~ <br /> SAN~IA~ HQRES <br /> 11~7~ HILL CREEK RD <br /> AUMSVILLE~, OR ~7325 <br /> PI-lONE= 76~-7744 <br /> <br /> ITEM QUANTITY AMOUNT <br /> MANUFACTURED STRUCTURE PL E E Y CON ECYiO $1a2. <br /> MANUFACTURED STRUCTURE STATE FEE <br /> MANUFACTURED STRUCTURE GTATE SURCHAB6E <br /> TOTAL ASSESSED FEE~ $211. <br /> PRE~IOUS RECEIPTS ' $211. <br /> THIS REOEIP~ <br /> <br /> PAYEE: ; : INVOICE <br /> I~ECE:[VE~ BY: DF TYOE: CHECK ~: <br /> · ~ TH~S ~S ~ VAL~ PERH~T AN~ ONE <br /> EE~NSPECT[ON. ALL NECHRNZC~L. AND ELECTR~CRL <br /> C~HNECT~DNS ARE INSPECTION. <br /> ~HY OF THE [TENS AEE ZNCOHPCETE~ AN :ADD~TTQNAL ZNSPECT:ZON::FEE UZLL ~E RE~U~EED. <br /> PER~IT IS VflLID FDR SIX HOH~HS OHLY~ ,RENENE~:EOR,6 HQNTHS UPON ~RITTEN REQUEST FOR <br /> AH EXTENSION. PRIOR TO THE ~ERH[T. ~F COHSTRUCTZDfl F~ILS <br /> HEET ALL REQU[REHEN~S BF HAR~OH:coUH~Y 9U[L~[H~ ~ND ZON[N6 <br /> <br /> ~ET~CKS= F~ 18 <br /> <br /> RS""~ ..... <br /> RR--le <br /> REMARKS: NS : <br /> <br /> OFFICE COPY <br />FORM # MC 15.56 REV. 4¢8() <br /> <br /> <br />