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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 rm ~ registered builder OR the authorized represen 8 ive <br /> <br />The work will be perEormed by a registered builder, <br />Other <br /> <br /> SANTIAM HOMES RESIDENTIAL <br />SITUS ADdFi~8~.; ............................................. <br /> <br /> AUHSVILLE QR 97~25 ~UMSVILLE NO , <br /> NANUFAOTURED STRUCTURE <br /> <br /> MILL CREEK ESTATES <br /> 11~7~ M~LL CREEK RD ....................................................... <br /> AUHSVILLE aR 97~2~ ~ZTE HUHB~: 94-8D772 <br /> PHONE: 769-7744 VALUATION~ <br /> <br /> 5¢ I 84 , 462¢. , ;NO i NO <br /> <br /> ~: ~UFACT~E8 STR~TURE PERHIT OR AP~ICATI~ HO: 58468 <br /> Cap~o~ 4~ning / Sant~am Homes <br /> 518 Vmlley~ood Dr SE <br /> <br /> HONE~ <br /> <br /> IT~ QUANTITY AMOUNT <br /> MANUFACTURED STRUCTURE PLACEMENT/CONNECTION $182.88 <br /> ~ANUFACTURED STRUCTURE STATE FEE <br /> MANUFACTURED STRUCTURE STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />TH~S RECEIPT <br /> <br />$211.:L8 <br />$211.10 <br /> $0.00 <br /> <br />BALANCE 9UE $0.00 <br /> <br /> PAYEE: INVOICE <br /> RECEIVED BY: DF TY~E: CHECK ~: 0 <br /> <br /> REINSPECTION. ALL BLOCKINg, STAIR INSTALLATION,' PLUMBING, HECHAHICAL. AHD ELECTRICAL <br /> COHHECTIGNS ARE REQUIRED TO BE COKPL~TED UPOH ~8U~T FOR THE FIRST IHSPECTIGH. <br /> RHY BF THE ITEHS ARE IH~L~E, ~ ~DDITIOHAL IH~CTI~ FEE ~iLL BE REQUIRED. <br /> PERHIT IS VALID FOR SIX H~T~ ONLY., ~HENE9 ~R'& HOHTHS 'UPON ~RITTEH REQUEST FOR <br /> ~H EXTEHSIOH, PRIOR TO THE EXPIR~TI~ DA~ OF ~E ~H~T. IF COHSTRUCTIBH FAILS <br /> ~EET ALL RE~I~HEH~ OF STATE L~S A~'~R{~ ~U~Y '~ILDIHg ~ ZBN~Ng <br />PLANNING ACTION: .... ,',,, · , <br /> <br /> REMARKS: MS, CARPORT <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICZAL / BY <br /> <br />SETBACKS. FR 10 <br /> <br /> RS-15 <br /> PR-15 <br /> sPZ ...... <br /> <br />OFFICE COPY <br /> <br /> <br />