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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 am performing work on a property I own or occupy, <br /> I am 8 registered builder OR( ) the authorized representative <br /> ol a registered builder. <br /> The work will be performed by a registered builder. <br /> Other <br /> I have read and agree to the terms Stated on the reverse side of <br /> <br />DAI'E: 10/01/91 T'II',,1E: 13'.42:2'f <br /> <br /> IAIILSON, VfVIAN <br /> <br /> 10'/52 LE'VERI'flAN RD <br />AUIVi~V I LLE OR 9';"325 <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />USE Or BUJLDING: <br /> <br /> TAX LOT: i CATEGORY; <br /> 58451-000 , RESi DEN I' ].AL. <br /> CONSTRUCfION ~YFCE i OCCUPANCY: <br /> <br />~R.! CQUN ];Y .: N0 <br /> <br /> IVlANU FAC'f'U RED STRUCTURE <br />MAILIN~ ADDRESS: <br /> <br />10772 LEVERMAN ROAD SE <br />AUrffSViLLE 9?326 <br />PI~ONE: '?~9-1319 <br /> <br />14 ?: <br /> <br /> SiTE NUMBER: 3178 <br /> VALUA'r I ON: <br /> <br />499 58800, SP r NO : NO <br /> <br />MAE: <br /> <br />TYPE: IV~ANUPACI'UREO S[RUCFURE PERMIT OR APPLiCA'f'iON NO: <br /> <br />CONTRACTOR, NO_ <br />WILSON, ViViAN <br />10772 LEVERt4AN ROAD SE <br />AUN~VlLLE 97325 <br />PHONE: <br /> <br /> ITEM <br />¢'t~,~UFAC1URED S'f'RUCIURE PLACEMEN'F/CONNECT~ON <br />~ANUPACTURED Sf'RUC1'URE STATE FEE <br />MANU?AC'fUREO Sf'RUC'f'URE STATE ~UK-'C~ARGE <br />~ANUPAC'f'UR~D STRUCTURE ZONING SURCHARGE <br /> TOTA~AS.SE~EDFEES <br /> PREV[OUSRECEiP'fS <br /> THiS RECEIPT <br /> <br />34??5 <br /> <br />QUANTiI'Y AMOUNT <br /> $182,00 <br /> $20.00 <br /> $9, o <br /> <br />~226.10 <br />226.10 <br /> $o_oo <br /> <br />BALANCE DUE $0-00 <br /> <br /> ~A,.Y. EE: i AA F').. RECEIP'r <br /> <br />~ '~lS iS A VALID PE~IT ~ THIS PE~iT FEE ~B BE IBEOTIB ~O ~E <br />~IN~TI~. ALL B~Ki~, STAIR [NSTALBTI~, ~IN6, ~E~i~L, ~D ELECTRICAL <br />~N~Ti~ ARE R~IREO ~ BE ~LETED U~ ~T ~R THE Fi~T INSP~T[~. IF ~Y <br />~ THE [T~ ARE i~ETE, ~ AODIT[~AL [~I~ ~E HILL BE R~I~D. ~IT IS <br />VALID F~ Six ~THS ~LY. ~ED ~R 6 ~T~ U~ HRITT~ RE~T FOR ~ ~T~I~, <br />~tOR TO THE ~P[~T[~ ~TE OF THE P~IT. JF~T~CT[~:FAI~ TO ~T ALL <br />~1R~TS OF STATE ~ ~D ~R]~ ~NTY BU[LO[NG ~D Z~[NG ORDIN~C~, THiS <br /> ~JT ~ALL B~E NULL ~D ~[D. <br /> <br />SE[BACKS: PR 20 LS 10 R~ 10 RR 30 8P <br />RENARKS; ~,~ ~OViNG OVER 15F'F R-698q MUSTII"BE'"RFJ4OVED PRIOR TO CCC. OF RES. IvlOBILE <br /> CANNOT SYAY - DENIED BY COUNTY SANiTARiAN <br />PLANN[NG AC'f'[ON: <br />~;)NALD E. NOODLEY, MAR~ON COUNTY BU[LDiNG OFFiCiAL / BY <br /> <br />FORM ~ MO 15-56 REV, 4/90 OFFICE COPY <br /> <br /> <br />