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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 /> ,1:[~ C~RMEL DR ....... 46 ~ , ~ <br /> <br />28tl I,.YNA NE <br />PHONE:: 375--52~6 ~ VALUATION~ <br /> <br />TYPE: MANUFACTURE]) STRUCTURE <br />CON FRACIO~,~ NO. 14~.~ <br /> <br />285 ,~ P~cJ. fic Hwy <br />WoodburrN 97~'7:1-~ <br />PHONE~ 981-3141 <br /> <br />PERMIT OR APPLICATIDH NO: 6M187 <br /> <br /> ,t 'TEM <br />MAIqUFACI'URED STr~UCTURE PLACli~MENT/CONNE'CTIOI,( <br />MAMUFAC'T"UREI) STRUCTU~(,E STATE FEE <br />MANUFACTURED STRUCTURE ~TATE SURCHARGP, <br /> <br />QUANTITY <br /> <br />AHOUNT <br /> $J. 82,, Or,'} <br /> $20 ,. 0(~ <br /> <br />PAYEE: <br />REf;E.~:VED BY: PR <br /> <br />?TAL ASSESSED FEE8 <br />REVIOU9 RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE, DUE <br /> <br />........................................ . ..... . TYPE: <br /> <br /> $~.],1,,.L0 <br /> <br /> $0.00 <br /> <br />INVOICE <br />CHECK ~: 0 <br /> <br /> *~ THIS IS A VALID PERMIT *~ THIS P~RMtT FEE'COVERS ONE ~NSPECTION AND ONE <br /> REINSPECTION. ALL BLOCKINC~ STALE INSTALLATION. PLUNBING~ MECHANICAL~ AND ELECTRICAL <br /> CONNECTIONS ARE REQUIRED TO BE COMPLETED UPON REOOE~T FOR THE FIRST INSPECTION. IF <br /> ANY OF THE ITEMS ARE INCOMPLETE. AN. ADDITIONAL INSPECTION FEE WILL BE <br /> PERMIT I~ VALID FOR SlX ~ONTHS O~LY. :EENEWEDFUE 6 flONTH$ UPON WRZTYEN REgUEST F~R <br /> AN EXTENSION. PRIOR TO THE EXPIRATION DATE OF THE PERMIT. IF C~NSTROCTION FALLS TO <br /> MEET ALI. REOBIEE~ENTS OF STATE LA,SAND MARION C~UNTY BUILDING ANO <br />f'I_.ANFIING ACTION: , <br /> <br />I)ONAI.I) lli:., WI'IODLEY, MARION COUNTY BUILDING OFF~CIgL / BY <br /> <br />SETBACKS: FR 10 <br /> LS ,ko <br /> RS"-15 <br /> <br />OFFICE COPY <br /> <br /> <br />