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MARION COUNTY BUILDING INSPECTION <br />SENATOFLBkDG, 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 /> <br />, SANTIAM NOMI-_-S :~ RESIDENTTAL <br />~iTUS AOO~: <br /> <br /> ~U~SV~LLE <br /> NO <br /> <br /> H~HUF~CTUR~D STRUCTURE <br /> <br /> ~ MILL CREEK ESTATES <br /> ~Z~7~ MILL CREEK RD <br /> 4UMSVILLE OR ~7~25 ~ZTE HUN~E~: <br /> PHONE: 769-7744 VALUATION: <br /> <br />~LCf ]'~[~E-~, :~f'ib~; ~]Yb~[~TP7~ ;~ RAN~; ~[ ZONE: : MAP: <br /> ~ , ~4 , 8~ ,2~ ~ R~ <br /> <br />, .................................. ~ :---J ....................................... L <br /> <br />TYPE: HANUFACTURED STRUCTURE PERNIT OR APPLICATION NOI <br />CONTRACTOR~ NO, ?8940 <br /> Capi-tol Awning / Santia~ Homes <br />518 Valleywood Dr SE <br />Sale~ 97306 <br />PHONE: 363~1711 <br /> <br /> ITEM <br />MANUFACTURED STRUCTURE PLACEHENT/CONHECTION <br />M UF'*CTURED STrUCtURE STATE FEE <br />NA UFACTURED STRUCTURE STATE SURCNA CE <br /> , TOTA AsS£S EDFEE <br /> PREVIOUS RECEIPTS <br /> T:NISEECEIPT <br /> <br />PAYEE~ <br />RECEIVED BY: 9F TYPE: <br /> <br />58480 <br /> <br />QUANTITY AMOUNT <br /> <br /> $20.00 <br /> $9.10 <br /> <br />$211.10 <br /> <br />$0.00 <br /> <br />INVOICE <br />CHECK ~: 0 <br /> <br /> REINSPECTION. ALL HECHANICALe AND ELECTRICAL <br />CONHECTZONS ARE REGU/RED TO ~E:CONPLETED.UPONRE~UEBT FOR: THE F~RST <br />ANY OF THE /T~S ARE ZNCDHPLETEe AH AbDIT~AL ~HS~ZONFEE~LL 8E REQUIRED. <br />PERNIT IS VALID FOR SIX HOHTHS OH~Y, RE~ED F~ 6 HONTHS UPON ~RITTEN REQUEST FOR <br />AH ~TENSION. PRIOR TO THE EXPZRA~iONDATE OETHE ~RHIT.:IFCONSTRUCTIDN FALLS TO <br />HEET ALL REGU~REHEHTS OF STATE LA~S ANDHAR~CO~YSU~Lg~NG AH~ ZONZHG ORD~NAHCES~ <br />PL. ANNIM6 ACTION. <br /> 8ETBACKS: FR <br /> <br /> RR-~5 <br /> REMARKS. MS,CARPORT <br /> DONALD E. WOODLEY~ MARION COBNTY BU:~:~D~N~OFFiC~AL / ~y _ <br /> <br /> OFFICE COPY <br />FORM # MO 15.56 REV. 4/90 <br /> <br /> <br />