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MARION COUN'FY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church StreetiNE o Room t32 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 * Phone: (503) 588-5147 · 24-HR Inspection Llrle: (503) 588-7904 <br /> <br /> NANUFACTURED I)WELLTNG PERNIT <br />DATE/TIME 11/17/~5 12:5~ PERMIT Hi] : 95-1744~ <br />TYPE He~ ~anufac~ured O~elli~g STATUS : ZSSUE~ <br />OCCUPANCY R-3 %~SUED : 11/17/1~95 <br /> TO EXPIRE : e5/[5/~6 <br /> <br />WORK OEoC : MANF PLACflENT <br /> <br /> ' ~" CITY: MARION COUN'rY <br />SiTE ADDRE S,:~ ; <br /> 14~18 KEIL RD NE AR <br /> <br />CROSS STREE1 : HU~BARD CLI'FOFF <br /> <br />PARCEL NUMBER : 40:~86-,,000 <br /> PARCEL, SIZE : 1.1 AC <br /> <br />O~NE~ NAME : DAWSON~JOLLY <br /> <br />APF~I_ICANT <br /> NANE <br /> ADDRESS <br /> <br />PHONE <br /> <br />C;ON'rRACTOF4/ <br /> AGENT <br /> F'HONE <br />I N,~$TALLER <br /> PHONE <br /> <br />DAWSON.JOLLY <br />14018 KEIL RD NE <br />AURORA OR <br /> <br />297-4S~4 <br /> <br />YALUE ~OBILE HONES <br /> <br />777.-~7~7 <br /> <br />UNIT SI~ F'T : 1.344 <br /> <br />PRO~ <br /> <br />LOCATOR: 041WllD 003~0 <br /> ZONE: EF'U <br /> <br />Desc:r' :(I;r~ion <br /> <br /> State SLI1- C h 8 t'g,8 <br /> o'r:at~: administrative ,fee <br /> Zone surcharge <br /> <br />OCCB: 64112 <br /> <br />MD LICEN~;E:6411~. <br /> <br /> Fee <br />......................................... %q~ <br /> 12.25 <br /> 28,,00 <br /> 20,,00 <br /> <br /> ~sesseO fees : ~?'?.25 <br /> <br /> ~qt'a 1 fees : 297.25 <br /> l~o~'al payments: 297,, 2~i <br />PAYb:[{: DAWS( ,~,JO[,,L,Y, :~a]anCe ~ue : ~8 <br /> <br />HAS WOT CONHENCED. OR IF CONSTRUCTION: CEASES FOR A PERIO0 OF 18& DAYS. OR IF <br />COflSTRUCT~N FAZLS TO HEET aLL REOU[REHE~ OF ~RTE LANg aH~ HAR[OH COUNTY <br />ORD[~HCES. UPO~ ~ITTEH RE~EST~'OHE SiX, flOHTH EXTEHSIOH ~Y BE CRANTEg. <br /> <br />S~GN~TURE ~F ~F'PLIC~NT= .................... ~ ........................................................ <br />**************************************************************************************** <br />DONALD E WOODL~);Y,~ MARION COUNTY BUILDING~OrFICIAL / BY MBULL <br /> <br />II <br /> <br /> <br />