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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY 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) 588-79{}4 <br /> <br /> MANUFACTURED DWELLING APPLICATION <br />DATE/TIME : 12/~4/95 I&:B8 ACTIVITY ~0 <br />TYPE : New ~anufac~ured D~eIlil~§ STATUS = APPLIED <br /> APPLIED :. <br />OCCUPAHCY : R-3 " TO EXPIRE <br /> ~ PACE <br /> <br />I~I[;RK DESC ~ HI':(~ HOHI:~ -- SP ~6:t. - <br /> <br />S .VI'E AI)DRE,SEi : <br /> <br />605 W~NIENER~. SI' ,SE AH Un: <br /> <br />CRO,~;S ~I'REE:'r : MIL,I,,, [;REEK RI) <br /> <br />PARCI,F,L, NUMBEI? : <br /> PARI]Et, ~i]'ZE : 55~,,~ SF <br /> <br />(]WNER NAME ',: FACTORY HOMES <br /> <br />APPL I CANT <br />I,IAHE :ROE, HH J~)f'lN A <br />ADI)RESE~ : :[7277 S FERNWf}OD <br /> <br /> PHflNF., '. <br /> <br />CONTRACTOR/ ROEHM JOHN A <br />A[;ENT ROEHM ,JOHN <br />PHONE' 829-,48Y:1 <br />INS TAL, LE~ <br />PHONE: <br /> <br />UNIT SQ F'T : 1288 <br /> 1 ~t'at'~ :surch~ ~e <br /> <br />HOL, AI,J.,A,~ OR 970:'~8 <br /> <br />LI Lf,.N,:~E. <br /> <br /> ' ' 277. ~.,1 <br /> A~sessed fees ........ <br /> A~ just m~rn'ts ,, <br /> Total fee~s . <br /> i AYI_L.. ROE:HH JOHN A Ba:lanc:e due : 277,,2F, i <br /> <br /> TH[8 IS ~T A PER~IT. THIS APPLICATION ~QST ~ THROUGH A S~MQLTANE~US REVIEW <br /> P~OCESS ~ERE Z~I~. SEPTIC (IF APPLIC~BEE) AND BITE PLAN IS CHECKE~ PRIOR T8 <br /> THE ISSUANCE DF A PERHIT. IT IS THE RESPONSIBILITY QF THE APPLICANT TO ASSURE <br /> THAT ALL HECESSARY [HFQRflATIOH IS PROVI~E~. AS SQOH AS ALL REQUIRE~EHTB OF THE <br /> ~EVIE~ HAVE BEEN flE~ YOU WILL BE NOTIFIES THAT ~UR PERMIT HAS BEEN <br /> <br /> ~;'~:[;NA'I'I~RE OF APPL. ICANT: <br /> <br />))ONA)..I) I~ ~OE)I)L,[,:~Y~ HAR):ON t',I'IU~,ITY BdlI,,DIi,IG o~FF'ICIgL / ~4y F'HUNRO <br />.................................................................................. FOR ;DFF'~CE USE ONLY ................................................................. <br /> <br /> PlAN REV]:)':?.~ ;~ 3~:~ ~)¢1'7~' k::.V.,.I.~" ' '~ ' " DA]E:: <br /> <br /> <br />