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MARION COUNTY BUILDING iNSPECTION <br />COMMUNI'FY 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 />DATE/TIME <br />'TYPE <br />OCCUPANCY <br /> <br />New Hanufac~ured Dwelli~§ STATUS <br /> TO EXPIRE : 85/28/1996 <br /> PAtE I <br /> <br />I 'ARI:EL. NUMBEI7 <br /> PARCEL SIZE <br /> <br />OWI,IER NAME ',; <br /> <br />APPL, I CANT <br /> I'IAi'IE <br /> AD~RE:SS : <br /> <br />NIL.I,, CRgEK RD ' <br />.~o00 0 SF <br /> <br />I";IF, I,I 'T'R A L. HOHES <br /> <br />COMH WOI)DBURN <br />2[:[5 S EA[,.[~,I.C <br /> <br /> WO(1DBURI,!~ OR 97 ~ 7:1. <br />PHf)NE : 9B1-.~:141 <br /> <br />,CON'['RAC'r OR/ <br /> AG~.,iHI' <br /> POONE <br /> <br />CONH WOODBURI,I Il,lC <br />COHH WOODBURH [NC <br /> <br />INSTAL. L,E'R <br /> PHOHE ". <br /> <br />UN]:1- ,,~1.I F'¥' : ',1,~00 <br /> <br />C]:TY: AUhISV:[ LI,,.E: <br /> <br />OCC, B= <br /> <br />MI) LICENSE: <br /> <br /> A~.d~essed 'f'ees 277.25 <br /> <br /> ~.7 7,, ,~. ,.~ <br /> T:otal fees ~x'- "~' <br /> <br /> PAYEE;; COHH WEIDDBURN ):NC B~lance ~ue : 277.25 <br /> <br /> THIS IS NOT A PERMIT. THIS APPLICATION MU~T GO THROUGH A SIMULTANEOUS REVIEW <br /> PROCESS ~HERE ZONIflG. SEPTIC (IF APPLICABEE)AND SITE PLAN IS CHECKED PRIOR TO <br /> THE: ISSUANCE OF ~ PEEH[T. IT [S THE RESP6~SIgiLITY OF THE APPLICANT <br /> THAT ~LL NECESSARY INFORHATION IS PROVI~Eg. AS ~ON AS ALL REgUIEEHENT~ OF <br /> <br /> OI~;N~TURE OF' ~F'PLIC~NT= ................ ~ .............. :4 .................................................. <br /> <br />............................................................. ....... ..........................................' <br /> <br /> <br />