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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 255 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) 373-4427 <br /> <br /> HAHUFACTURED O#ELLTNG APPLT~TTON <br />~TE/I']'HF '- ~7/26/96 16=44 ACTt'VTTY HO = 96-~5667 <br />TYPE -- Ne,, Hanufactured g~ell~ng STATUS = ~PPLIED <br />OCCUPN,ICY -' R-3 N~'PL]~ED : ~7/26/1996 <br /> TO EXpI'RE -. g~1/22/1997 <br /> Pk~T,E 1 <br /> <br />W~RK DESC : NF~ PLACEMENT <br /> <br />SITE ADDRE.~S : CITY: MARION COUNTY <br /> lJ657 FALCON CT NE AR <br /> <br />CROSS STREET : EHI.Efl TO WARBI.ER LN NE <br /> <br />PARCEL NIIMBER : 7855J-35~ <br /> PARCEL S~ZE : .SAC <br /> <br />OWNER NAMF : GRFEN~ JOE <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />GRFEN~ JI]F <br />P 0 BOX 759 <br />PORTLAND, ORF'~ON <br /> <br />PHONE : 583-685-9685 <br /> <br />CONTRACTOR/ <br /> AGFNT <br /> PHONE <br /> <br />INSTALLER <br />PHONE <br /> <br />IIN)T SQ FT : <br /> <br />97287 <br /> <br />Units <br /> <br />*JOE GREEN INVESTMENT CO <br />GREEN, JOF <br />485-9&85 <br /> <br /> OCCB: 8857652 <br />MD LICENSE: <br /> <br /> Description Fee <br />1 Manufactured dwellS, rig fee 245.88 <br />I State surcharqe 12.25 <br />1 State administrative fee 28.88 <br />I Zone surcharge 28.88 <br /> <br /> Assessed fees 297.25 <br /> Adjustments .88 <br /> Total fees 2~7.25 <br />PAYEE: GREEN, JOE Total paxments: 297.25 <br /> Balance due · <br />****************************************************************************** <br />p~[S__Z_S_ ..N~..T__A_ _P[RflIT. ll~IS APPLI~o THROI.~H A SlIflJL?ANEOUS REVI£# <br />.,.?~u~.U-'~.~?~.I~I~__ZU.NTL~I~_.~._S_EPT~_C_ (_~F~/'_N:?L~ ~C~I(2L~ Al,II) $~TE PLAH I$ CHECKED PR[OR TO <br />;rm z==,.mm..t ul' R I"I:.K~J/. LT ~ THE RF~IIOH$I'B! TTY OF TI.Il; ~'PLT~d, II' Tm <br />THA L ............................. <br /> T ALL NECESSARY INFORY~?I D. AS SOON AS L <br />RF¥'E .......... OH/IS PR~f]~Pl~D. AS AL RE IREHENTS OF THE <br /> <br />DONALD E WOOOLEY~ MARTON C01JNTY BUILDING OFF~C)AL / BY CLYNCH <br /> <br />....................................... FOR OF'F'ICE USE ONLY ......................... <br /> ,SITE / IJGB: <br /> MAP: ] ZONF: AR PR('IPER1Y- LOCATOR: 031W33CB08488 <br /> <br /> REQQ H,.IBACKS,Fron:. 999 Left: 999 Right: 999 Rear: 999 Special: 999 <br /> <br /> PLAN REVIFW : DATF: ZONING REVIEW: DATE: <br /> <br /> <br />