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MARION COUNTY BUILDING INSPECTION <br />SENATOR E~LDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-514T 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-'7904 <br /> <br />I am performing work on a property J own o¢ occupy. <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document, <br /> <br />TYPE: MANUFACTURED STRUCTURE <br />C~MP~E,L.L HOMES <br /> <br />PER~IT OR APPLZDATi8N NO: 58e~0 <br /> <br />,.,A)_.A~ I,,£ I)UE <br /> <br />(~I,IpNT:[TY AHOUN'F <br /> <br />· ~:.,c,f~ .~) ~Yf;; d~'~ ...................................................................... 'FYi:;'E~ C,.ECk ~:: ~,~ <br /> <br />· ~ THIS IS A VALID PER~IT ~ THIS PERMIT FEE COVERS ONE INSPECTION AND ONE <br />REZNS~ECTION. ALL DLDC~NG~ STAIR INSTALLAtiON. PLUMDING~ ~ECHANICAL~ AND EL~CTRZDAL <br />CON~ECTI~NS ARE REQUiReD T0 ~E CO~PLETE~ UPON REQUEST FOR THE FIRST ~NSPECTI~N. <br />AN',Y OF THE ITEMS ~RE ~NCO~PLETE. AN A~DITIONAL INSPECTION FEE WIlL ~E RE~UIRED. <br />PERMIT iS VALID FOR SIX M0NTHS OHLY. RENEWED FOR 6 MONTHS UPON WRITTEN REQUEST FOR <br />AN EXTENSZGN, P~IOR TO THE EXPIRATION ~ATE OF THE PERMIT, IF CONSTRUCT?N FAILS .TO <br />~E]ET ALL REGDIRE~EN'FS OF STATE LAWS AN~ .~ARiOfl COUNTY BUILDING AND ZONING O~DINANCcS, <br /> <br />SETI~,ACK¢~." F;'F( <br /> L!~'"' 2 5 <br /> RS":},5 <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 R~V. 4/~0 <br /> <br /> <br />