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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 - Sates, Oregon 97301-3670 <br />Office Hours: 8;00-4:30 · Phone: (503) 588-5147 * 24-HR Inspection Line: (503) 373-4427 <br /> <br /> NANIJFACTURFD DM:I.L]'I~Gr PERIli*T <br />~D~TE,/TTHE*. I 119/~3/9& ~7149 PEI~XT NO 96--~i667 <br />TYPF s NPN Naeufectured ~]lJng ~I'~TUg ~ T~'UED <br />QCOJPAMCY ~ R-*3 l~gi,lE~ s B9/23/1996 <br /> 'ro EXPIRE I ~3/22/1997 <br /> ' P~;E 1 <br /> <br />WORK OE.~C : HFG PI.ACEbiEHT <br /> <br />~TTF ADT~RF*S~ ~ CTTY: HARTON COUbiTY <br /> 11.657 FAI,CI*lbi CT biF_ AR <br /> <br />CRORS STRFFT g <br /> <br />FHI Fbi TO WARRLFR LN <br /> <br />PARCEl. bilJbiBER : 7~55t-351 <br />PARCFI STTF : <br /> <br />APPL1CAflT <br />NAHE <br /> <br />GREEN. JOE <br />P 0 ~OX 759 <br />PORTI.AbiD, OREgObi <br /> <br />CONTRACTOR/ <br /> <br />PHObiF <br />THSTAI.I.ER <br />PHONE <br /> <br />PROPERTY I.OCATOR: 831W33CB00488 <br /> ZOHEg AR <br /> <br />I;N'[T .~O FT : <br /> <br />97?87 <br /> <br />,IOF GRFFN TbiVFSTHFNT CO <br /> <br />· OCCB: 8057652 <br /> <br />6Rfi-9685 <br /> <br />MD LICENSE: <br /> <br />II,it~ Dp~crJptJon <br /> Manu~acti'~Bed dwetttng Tee <br /> ] ~tate surcharge <br /> T State administrative fee <br /> ] 7~ne surcharge <br /> <br />Fee <br /> <br />12.25 <br />2B.00 <br />2e. ee <br /> <br /> Assessed fees : 297.25 <br /> Adjustments : <br /> Total fees : 297.25 <br />PAYFE= GRFFNs ,IOF Tofa! pa~ents~ 297.25 <br /> Balance due : <br /> <br />THZS PERHIT 18 NON-TRN~FERABLE AND EXPIREg 18~ ~Y6 F~ I~ ~TE IF ~K <br />~ ~T ~. ~ IF ~T~TI~ ~ F~ A ~XOD ~ 1~ ~Yg. ~ IF <br />~T~TI~ FAILS TO ~ ~L ~[RE~ ~ ~A~ ~ ~ ~I~ C~TY <br />~I~S. ~ ~I~ ~IFST, ~ SIX ~H ~I~ ~Y ~ GR~E9. <br /> <br />STGNATURE OF APPLTCANT: <br /> <br />DONAI.D E WOOOLEY, HARTON COllbiTY BlJll. OlflG OFFTCTAI. / BY HBULL <br /> <br /> <br />