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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 288 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Houre: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> HAHUFACTURED D#ELLING PERHTT <br />DATE/TIldE '- 04/e4/97 11:36 PERMIT NO : 97-D1969 <br />TYPE : He~ flanufactured D~elling STATUS : ISSUED <br />OCCUPRHCY : R-3 ISSUED : e4/1~4/1997 <br /> TS EXPIRE : 18/81/1797 <br /> PAGE I <br /> <br />WORK DESC : NMFG <br /> <br />SITE AOORESS : CITY: AUMSVILLE 735 STAFFORD ST SE AM <br /> <br />CROSS STREET : MILl. CREEK <br /> <br />PARCEL NUMBER <br /> PARCEL SI~E <br /> <br />OWNER NAME : KOPIEL,GERARD <br /> <br />APPLICANT <br /> NAME <br /> ADgRESS <br /> <br />PHONE : <br /> <br />RICK GOMES <br />CARVER ENTERPRISES LLC <br />P.O. BOX 4~34 <br />SALEM~ OR <br />503-7&?-1903 <br /> <br />PROPERTY LOCATOR: 081W30 02308 <br /> ZONE: I <br /> <br />97~02 <br /> <br />CONTRACTOR/ : CARVER ENTERPRISE~ LLC OCCB: 00?8?40 <br />AGENT : <br />PHONE : 769-7744 <br />INSTALLER : MD LICENSE: <br />PHONE <br /> <br />UNIT SQ FT : <br /> <br />0n~ts Descriptio~ Fee <br /> Manu?acture~ 'dNeJllng fee 245.00 <br />1 State surcharqe 12.25 <br />1 State adMi~'ds~rative fee 20.00 <br /> <br /> Assessed fees : 277.25 <br /> AdjustMents : .00 <br /> Total fees : 277.25 <br />PAYEE: RICK GOMES Total paxMents: 277.25 <br /> Balance due : <br /> <br />THESIS PER#IT IS HOH-TR~JSFERABLE AND E/PIES 11~ ]~YS FROl~ I~ DATE IF ~ <br /> HOT ~. ~ IF C~T~TI~ ~S~ F~ ~ ~IO~ ~ 18B DAYS. ~ IF <br />~STR~TI~ FAILS TO HE~i ~L ~IRE~S ~ STA~ ~US ~D ~I~ CO~Y <br />~D~ES. ~ON gRIT~N R~ST, ~ SIX ~ ~TE~I~ ~Y ~ g~NTED. <br /> <br />SIGNATURE OF APPLICANT: ........................................... <br />**************************************************************************** <br />DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY PMUNRO ~'/ <br /> // <br /> <br /> <br />