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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) 373-4427 <br /> <br /> HANUFACTURED DWELLING PERflIT <br />DATE/TINE B2/B3/97 12:33 PERMIT NO : 97-~0472 <br />TYPE gem Manufactured D~elling STATUS : ISSUED <br />OCCUPAHCY R-3 I~UED : 82/B3/1997 <br /> TO EXPIRE : 08/~2/1997 <br /> PAGE 1 <br /> <br />WORK DESC : MI) REPLACINI; OL~ HOUSE <br /> <br />S]iI'E Ai)ORESS : CITY: MARION COUNTY <br /> 23851 SCNULTZ RD NE AR <br /> <br />fIROSS S'[RKET : FARGO <br /> <br />(:'ARCEI_ NUH].~ER : 40226-000 <br /> r'* ~ ')2 OAC <br /> PARI]Ft S.ZE <br /> <br />OWNER NAHF : <br /> <br />APPI. i(CANT <br /> NAME : <br /> AI. I)RE~S : <br /> <br />CONTRAC <br /> A!;E I,IT <br /> PHONE <br />'l WSTALLEI~ <br /> F'HHNE <br /> <br />PROPERTY LOCATOR: 041W05 01500 <br /> ZONE: EFU <br /> <br />MOORE,ROBERT ,I A <br /> <br />MOORE,~[!BERT J A <br /> ~:~051 8CHULTZ RD NE <br />Al RORA <br />OR <br />67R-125~ <br /> <br />97002 <br /> <br />MCMINI,IViLLE F'ACI'ORY HOPIES INC <br /> <br />OCCB: 00207~9 <br /> <br />472-4148 <br /> <br />MD L. ICENSE: <br /> <br />UNIT SQ FT : <br /> <br />Un:i.'ts Descrio tion <br /> <br /> State surcharge <br /> State administrative fee <br /> 1 Z[me <br /> <br /> Fee <br />............................ <br /> 12.25 <br /> 20.00 <br /> 20.00 <br /> <br /> Assessed fees : 297.25 <br /> Ad justmeDts : .00 <br /> Total fees : 297.25 <br />PAYEE:PIOO~E~ROBERT~" J A To'hal payments: 297.25 <br /> Ba 1 a~' e due : .00 <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRE~ 188 ~AY5 FR~ ISSUE BATE IF WORK <br />HAS HOT COHHEHCED. OR IF CONSTRUCTION CEASES FOR A PERIOD OF 188 DAYS. OR IF <br />COHSTRUCTIOH FALLS TO NEET ALL REQUIREMENTS OF STATE LA~S AND HARIOH COUHTY <br />OEDIHAHCES. UP~H WRITTEH EEgUEST, ONE SlX H~TH EXTEHSIOH HAY BE GRANTED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />**************************************************************************** <br />Pr]NAt!) E WOODLEY, MARION COUNTY BUILDIN¢ OFFICIAL / BY PMUNRO ~ <br /> / <br /> <br /> <br />