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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 />DATE: <br /> <br />COYLE~ <br /> <br />SIGNATURE OF APPLrCANT: <br /> <br />TIME: 12:46:53 <br /> , TAX LOT: ~×TE~ORg: <br /> ; RESIDENTIAL <br /> 11 OCCUPANCY: <br /> <br /> AURORA OR ii~'~N COUNTY NO ! · <br /> ' <br />USE OF BUILDING: <br /> HANUFACTUREB STRUCTURE 2 <br /> <br /> ~. SITE N~BEE: ~4-834~7 <br /> PHONE: ~8-7~54 = VALUATION: <br /> <br /> r <br /> <br />T~PE: NANUFACTURE~ STRUCTURE <br />CONTRACTOR~ <br />COYLE~ M <br /> <br />PERHZT OR APPLICAT[OR NS= 57?AS <br /> <br />PHONE: 698-7954 <br /> <br /> ITEM <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTURED STRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE STATE SURCHARGE <br />MANUFACTURED STRUCTURE ZONING SURCHARGE= <br /> <br />QUANTITY AMOUNT <br /> $182.08 <br /> $28.08 <br /> $9.10 <br /> $15.88 <br /> <br />TOTAL ASSESSEDEEES $226.18 <br />PREVIOUS RECEIPTS $22&.10 <br />THIS RECEIPT $0.00 <br />BALANCE~OE $0.88 <br /> <br /> RECEIVED BY: DM ' <br /> ............. _ .......... TYPE: CHECK ~: 0 <br /> <br /> g~ THIS IS A VALID PERMIT $$: :THIS PERflIT AND ONE <br /> REIRSPECTXOH. ALL HECHAfI~CAL. AND ELECTRICAL <br /> CONNECTIOHS ARE REGUIRE~ TO~E:CDHPLETED~UPQNREaUEST FOR'THE: FIRST INSPECTION. ZF <br /> ANY OF THE ~TEHS ARE ~HCONP~ETE. AH :ADDITIONAL INSPECTION FEE WILL ~E REQUIRED. <br /> PERMIT ~S VALID FOR SIX FOR SHONTHS UPON WRITTEN REQUEST FOR <br />AN EXTEHSION. PRIORTO THE EXPIRAT~ONDATEDFTHEPERN~T. ~F CONSTRUCT~ON FAILS TO <br />NEET ALL REOOIREHENTS OF STATE:L~ AHD H~d~ION:CSUHTY BUILDINg AND ZONING ORDINANCEs, <br />PLANNING ACTION: <br /> <br /> REMARKS: MFS HOME - HARDSHIP <br />DONALD E. I,JOODLEY~ MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />SETBACKS: FR 20 <br />L9-28 <br />· RS-20 <br /> RR-28 <br /> <br />OFF[CE COPY <br /> <br /> <br />