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MARION COUN'FY BUILDING iNSPECTION <br />COMMUNll'Y DEVELOPMENT CENTB[R <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 /> flAHUFACTURED DWELLING PERMIT <br /> <br />TYPE : Hew Henufac~ured ~elling STATUS : ISSUED <br />OgCUPR~gY : R-3 ISSUED : 12/22/1~75 <br /> TO EXPIRE <br /> P~GE <br /> ~_~i~ ........................ ~ <br /> 909 YORK ST S~ AH <br /> <br /> r_- STRI-,ET : W'[NDEMF. RE <br />CRO.~S "- "' <br /> <br />PARCFI, NIIHBFR : 5627~088 PROPERTY L. O6AtOR. 081W30 02300 <br />PARCEl, ST, ZI~ : 5500,,~ SF ZONE: Rfl <br /> <br />[1WNER NAMF " SANTIAif "~ <br /> <br />APPLICANT <br />I~flMIE : RO~HM JOl41q A <br />AOI)Ri'~.~S : 177,77 S FERNWOOD <br /> <br /> NOI. AL.L.A,~ OR ?7038 <br />PH~NE : B'~.9'- 4S71 <br /> <br />CON'FRACTflE/ : ROERH JOHN A <br />AI;EHT : BUSWELL, 7. EB <br />PHONF : 829--487'1 <br />INSTAI,I,E'R <br />PHONF <br /> <br /> OCCB., <br /> <br />MD LICENSE: <br /> <br /> Am~essed fees : 277.25 <br /> Adou~l~en~s : .00 <br /> To~ai fees : 277.25 <br /> · 'To~I pax~ents: 277.25 <br /> PAYE~= ROEHM JOHN A Belance ~ue : .0~ <br /> <br /> THIS PE~IT IS NON-TRANSFERADLE AND EXPIRES 18~ D~YS FRDH I~SUE DATE IF WORK <br />'.'"~RS::N~T.CB~HENCE9~ GR[F:CUflSTRUCTIGH CE~ES FBR A PEOIBD OF 10~ D~YS, OR IF <br /> COflSTRUCTIONFAZLO TO MEET BLL REgUIREflEHTOOF STATE ..L~..WS AND ~RRZOH CDUHTY <br /> 'BRD~H~HCES. UPON~R~TTEH REgUEST, UHE SZX, HONTH EXTEHS[ON HBY ~E GR~HTED. <br /> <br /> SIGNATURE OF APP[.,[CANT~ <br /> <br /> ****************************************************************__********* <br /> BONAI, I) E WOOOl,,EY~ MARION COUNTY BLI[LDIN[ ~FFICIA[_ / BY DFI~EILXN~ <br /> <br /> <br />