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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 Une: (503) 588-7904 <br /> <br /> HAHUFACTURED 1)I~FIJ.IHG PER~IT <br /> <br />~ : He~ Hanufac~ur~ D~ell~ng STA~ : I~D <br /> PAGE 1 <br /> <br />W~RK PFg~ ~ ~F~ HflHF RFP[ A~FHEMT <br /> <br />STTE ADORERS : CITY: AUMSVILLE <br /> 218 El F~N BT AM <br /> <br /> CRSSS STREET : SHAW HY <br /> <br />.PARCF[ NIIM~FR : <br /> PARCEl. S~E : 49929.0SF <br /> <br /> OWHFR NAME : MANRIOUE7,FIDFLA & HOE <br /> <br /> APPLICANT <br /> NAHF : ROFHM JOHN A <br /> AOORFSS : ~7~77 S FERNWO~D <br /> <br /> MOl Al. IA, OR <br /> <br /> ROFNM JOHN A <br /> 879-4B7] <br /> <br /> PHONE <br /> <br />(',ONTRACTOR/ <br /> AGENT <br /> PHONE <br /> NSTAI I .~':R <br /> PHONE <br /> <br />UNTT SQFT <br /> <br />PROPFRTY LOCATOR: ~81WJOC OB50B <br /> ZONE: CE <br /> <br />97~8 <br /> <br />OCCB: ~B96335 <br /> <br />MD LICENSE: 6096335 <br /> <br />tlnits Description Fee <br />I Manufactured d#elliog fee 245.00 <br /> S~ate surcharge 12.25 <br /> ~ State administrative fee 26.9~ <br /> <br /> Assessed fees : 277.25 <br /> Adjustments : <br /> Total fePs :. 277.25 <br />PAYEE: ROEHM JOHN A Total pax~ents: 277.25 <br /> Re]ante due : .~ <br /> <br />THIS PERitIT IS NON-TRN~gFERABLE N, ID EXPIRES IlN~ NkY6 FROR I~EUE DATE IF #ORK <br />HN~ NOT COt~ENCED. OR IF CONSTRUCTION CF. ABES FOR A PERIOD OF 18~ ~Y8. Oil IF <br />CBNSTRUCTION FAILS TO NEET ~L I~OUII~TS. OF STATE LMJ~ ~ NAEION COUNTY <br /> 9TX <br />ITROTi, I~dCES. IJl~J# #RITT~N REOII~ST~ ONE tN]NTH' EXTEFI6ION I~Y ~E r. RAI, ITE~. <br />S]'~flATIIRF OF APPLICANT: <br /> <br />PONAI~) ~ WO~[FY~ HAR~OH COUHTY BIIIi~PTHg OFFICIAl / BY HBULL <br /> <br /> <br />