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567186 Buildingpermit PH Mindy <br /> 05 00 000 <br /> CITY OF <br /> Building and Safety AT YOUR SERVICE City Hall <br /> PAC:(503)-588-6256 555 Liberty St SE <br /> Inspections:(503)588-6256 Room 320 <br /> Fax:(503)588-6115 Salem, OR 97301-3503 <br /> WILLIAM HAAS Dwelling Seq#: 22-121956-DW <br /> 22901 FERGUSON ST NW Date Issued: January 06,2023 <br /> BEAVERCREEK OR 97004 <br /> Property Address: 1904 5TH ST NE <br /> Legal Description: Blk:3 <br /> Tax Lot#:073 W 14CC08800 Twn:7 Rng:3 Sec: 14 <br /> Description of Work: Manufactured Dwelling-New- MANUFACTURED HOME <br /> Info: <br /> In City Limits?:Yes Edition of Oregon Specialty Code?:ORSC 2021 Edition Middle Housing?:No <br /> Contractors'Construction Board#:203621 Zoning:RS In Floodplain?:No <br /> Inside Park/Outside Park MFH:Outside Park Geological Assessment#:n/a Historic Building:No <br /> Historic Zone:No <br /> Owner: Contractor: Contact: <br /> NICHOLL HILL BRUMBAUGH MANUFACTURED WILLIAM HAAS <br /> 1904 5TH ST NE HOMES LLC 22901 FERGUSON ST NW <br /> SALEM OR 97301 PO BOX 1 BEAVERCREEK OR 97004 <br /> BEAVER CREEK OR 97004 <br /> Work:(503)577-1884 <br /> This permit expires if work or construction authorized is not commenced with 180 days,or if construction or <br /> work is suspended or abandoned for a period of 180 days at any time after work has commenced. <br /> Form:Building Permit(dwell) 1/9/2023 Issued by:Linda Evans <br />