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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) 588-7904 <br /> <br /> ISAHUFACTURF. I~ I~ELI.~#G APPI.XCATIOI4 <br />DATF/TTHF -' ~/3~/96 1~=1~ ~[VXTY NO = 96-B773~ <br />~ = Ne~ Hanufactured O~lling gTAT~ = ~PLIED <br />~C~Y = R-3 ~IEO = ~9~/1996 <br /> TO EXPIRE ~ ~3/29/~997 <br /> P~ <br /> <br />~ORK ~F~t~ ~ RFP~ ~ RE'~ ~/ HF*6 <br /> <br />SITE AO~RF~S : CITY: MARION COUNTY <br /> ~94~ PAR~ FY R~ SF AM <br /> <br />CROSS STREET : W STAY'I*r)N Ri) AND MARION RD <br /> <br />PARCFL NUMRFR : 61597-008 <br /> PARCEl. SI~ZE : 5.MAC <br /> <br />OWNER NAMF : BAI KFMA,JAMES L & TONY L <br /> <br />APPI.ICANT <br /> NAMF <br /> AOOR.SS <br /> <br />: .. .c; <br /> ~AL KEMA, ,lAME, L <br />: 8948 OARI.EY RD SE <br /> AI. IMSVT[ I. E OR <br /> <br />PHONE' : 749-1~97 <br /> <br />E <br /> <br /> 973~5 <br /> <br />I, AND USE, <br /> <br />CONTRACTOR/ : OCCB: <br />Ai;FNT : i~A[I(FMA~ JAflFS I. <br />PHONE : <br /> <br />~NSTAI I FR : MD LICENSE: <br />PHONE : <br /> <br />IINYT ~ FT : 2~40 <br /> <br />1)escr i )tion Fee <br /> <br /> Sta.e surcharge 12.25 <br /> Stat~ ad~n~rat'~ve fee 28,88 <br /> Zone surcharge 2~.BB <br /> <br /> Asses,qPd fees 297.25 <br /> Ad just~ents . <br /> Tole] fees 297.25 <br /> PAYEE: BAt.KEMA, JAM .S I, Total. p~xmentst 2~7.25 <br /> Ba] ante due : <br /> <br /> PR~E~ ~E~ Z~[~, ~EPT;C (~F ~[CABLE) ~D SZTE P~N XS C~CK~ PRZOR TO <br /> ~ ~S~I~E ~ A P/RHTT. IT ZS ~E RF~ZB]LXTY ~ ~ ~PLZC~T TO ASSURE <br /> THAT ALL NEC;SSARY J~ORHAT~ ZS P~VJ~D. AS ~N ~ ~L ~GUZRE~HTSED~.THE <br /> <br />.............. Z ............................... FOE OFFICE [I~F QNLY ......................... <br />HAF'~ 6? 70NF~ FFII PROPFRTY I. OCATOR: ~92WIJ <br /> <br /> RFQO SEi'RACK~:F'roY~t: 2B i.eft: i~8 Right: ~B Rear: 2~ Spec:La1: <br /> <br /> P~AN RFVlFW : OATF: 7ONTN(~ REVIEW: ~ATE: <br /> <br /> <br />