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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 />of a registered builder. <br />The work will be pedormed by a registered builder, <br /> <br />this documenL <br /> <br /> NATHEW FLETCHER/THERESA POTTER ]- ~ESID£NTIAL <br /> <br /> AUMSVIL. LE" ' OR ~7325 ~UMSVILLE ~NO <br /> NO ~ B~DROOMS <br /> M?jUFACYURED STRUCYURE . <br /> <br /> ~__~1 P~ - ~)~T-E~ <br /> 2855 S. PACIFIC HWY <br /> WOODBURN OR 97871 ~ SITE NUHBER. 94-~3997 <br /> PNONE: 749-~341 ~ VALUATION: <br /> <br />............ ......... .......................... J. g ...................... <br /> <br /> TYPE: HANUFACTURED S[RUCTURE PERHITOR APPLICATION NO: 58883 <br /> CONTRACTOR, NO. 14922 <br /> COMH Woodburn Ibc <br /> 285 $ Pacific Hwy <br /> Woodburn. 97071-0~80 <br /> PHONE: 98~-314~ <br /> <br /> ITEM QUANTITY <br /> MANUFACTURED ~TRUCTURE PL~ENENT/CON~CTION <br /> MANUFACTURED STRUCTURE STATE FEE <br /> ~NUFACTURED STRUCTURE <br /> <br /> PAYEE: iii:~ INVOICE <br /> RECEIVED BY: dm <br /> <br />** TH~$ IS A V~LID PERNIT QNE <br />REINSPECTION. ALL <br />CONNECT[OHS ARE <br />ANY OF THE [TEHS ARE <br />PERHIT [$ VALID FOR <br />AN EXTENSION. PRIOR TO <br />NEET ALL RE~UiREHEHTS OF STATEEAHS:~ND <br />PL. ANN~NG ACTION: <br /> <br />AMOUNT <br /> $182.00 <br /> <br /> $9.10 <br /> <br />~211.10 <br />$211.10 <br /> $0.00 <br /> <br /> AND ELECTRICAL <br /> IF <br /> BE REQUIRED. <br /> ~RITTEH REQUEST FOR <br />FALLS TO <br />AHD ZONING ORDIH~H~ES~ <br />SETBACKS: FR 10 <br /> LS-15 <br /> RS-15 <br /> RR'-15 <br /> <br />RENARKS: NS~ CARPORT :"~ ~ SP- ...... <br />DONALD [iT,, WOODLEY, MARION COUNTY /:::'BY:: : <br /> <br />OFFICE COPY <br /> <br /> <br />