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MARION COUNTY BUILDING INSPECTION <br />COMMUNI'rY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 * Salem, Oregon 97301-3670 <br />Office Hours: 8;00-4:30 · Phone; (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br /> MANUFACTURED DI~ELLI'NG ApPLTCAT[OH <br />~ATF-/TI~[ = ~5/2~/95 ~=~2 STATUS : ~PPL[ED <br /> <br />TYPE : Ees~4emt. addit~o~/aZterat~o~ <br />CLASS : T~ EXPZRE = 11/19/1~5 <br />~CCUPA~CY : R-~ P~E 1 <br /> <br />WO~K DESC : RE~/M~ HARgSHIP 1~72 M~ <br /> <br />SITE A~ORESS ~ CITY:,. HARION COUNTY 748~ PORTER ~ SE AH <br /> <br />CROSS STRr. ET WI[ST STAYTON RD <br /> <br />PARCEL HUMBER : &lJ78-000 <br /> PARCEl. SIZE : 4.~ AC <br /> <br />OWNER NANE -, MONTGOMERY, DILLARD <br /> <br />APFI..ICAHI <br /> HAME <br /> ADDRES,g <br /> <br />i~OHT~OHERY~ MELANNIE <br /> ALBERTA AV <br />SAt..EM~ OR <br /> <br />PHOHE : 585~09S6 <br /> <br />CONI'RACTOR <br /> PI-lONE <br /> <br />: HONYGOMERY~fiELANNIE <br /> <br />IHS'fALl. ER : <br /> PHONE : <br /> <br />UNIT ,.~Q Fl' <br /> <br />I 8~ate surcharge <br />1 8ta~e adw:i,n~st~rative fee <br />1 Zolle surcharge <br /> <br /> ~7~01 <br />MDI LIC: <br /> <br />12.25 <br />20.00 <br />20.00 <br /> <br /> Assessed fees : <br /> Adjustments <br /> Total fees : <br /> Total pax~ten~m: <br /> Balance ~due <br /> <br /> [)ONAL~) E',. WOOgLEY, HARMON COUNTY BUILD~NG OFFICIAl. / BY <br /> <br /> .......................... FOR OFF,iCE OSE ONLY. THIS IS IS NOT A PERMIT <br /> MAP?, 6'2 ZONE: EFU PROPEETY I.,~CA'TOR: ~92Wg)l <br /> <br />RFQUIREi) ~ ;."' - ' '~" <br /> <br />297.25 <br /> <br />297.25 <br />297.25 <br /> <br /> <br />