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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Ch~Jrch 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 ~WELLING APPLICATION <br />.BATE/TIME I2/85/95 08:40 ACTIVITY NO : 95-1809~ <br />TYPE N~ Me~fac~Lwed D~elli~g STATU~ : APPLIED <br />OCCUPANCY R-3 APPLIE~ : 12/~4/I995 <br /> T0 EXPIRE : ~4/81/!996 <br /> PA~E <br /> <br />?;;~'~:[ A~l)RESS ; , CI-[Y= <br /> 6'.;!4 W:I:N~)EHIERE ST SE AN Un: <br /> <br />(.J.[ ..~o S'f'R[!'T " Ii ...I Ck hk RI) <br /> <br />'ARC t. [UM~]I':,R <br />i'AI:~'CE[,, fi;)'ZF : ,, ¢0, 0 <br /> <br />OWNE'R NA~l:f : [;AHP}:¢ELL r(.]HE.,S <br /> <br />Al- I L,],CANT <br />NAME : CARVER ENf~E} F4,..~ES L,[..C <br />AI)DREJ~,, : :l,:l,S'7;~ .~It.J_ CREEK RP <br /> <br /> ,,¥ .... -,,~2~ <br /> AIIHS II,,I_.E,~ OR ~'/, .,,,~ <br />PHONE ;~ 769--7744 <br /> <br />A6EI,IT <br />F'HONE <br /> <br />:1: NSTALLE:R ',[ <br /> : <br /> <br />CARVER EN]'ERPR:f. SE~J L,I,,C <br />CAkVI:,R EN rr. kPR,t:~l:,,~ LLC <br />769-?744 <br /> <br />State admin;i,s~ra~ivt~ fee <br /> <br />L ] CEI* <br /> <br /> Assessed fee,:~ 277,, 2S <br /> Adjustments <br /> Tota), fees 277.25 <br /> <br /> PAYEE'.: CARVER EN'I'~fRPRZSES L, LC 9alan¢le dtm : <br /> <br /> T~[~ IS HOT A PERHIT. T~S ~PLICAT~OH HUST GO THRQUCH A SI~ULTANgOUS REVIEW <br /> <br /> THE I~SUANCE OF A PER~IT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br /> THAT ALL NECESSARY INFORMATION I8 PROVIDED,~ AS S00N AS ALL REQUIREMENT~ OF THE <br /> REVieW HAVE BEEN ~E'r, You W~LL ~E NOTZFIE~ THAT YOUR PE~N[T HAS ~EEN <br /> <br />................................................................. ~. ............. FOE OI-F.[6[ USE ONLY ..................................................................... <br /> <br /> <br />