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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N.E. · Suite C · Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> HANUFACTURED DWELLING APPL[CATIOH <br />DATE/TINE = BS/B?/97 15=19 ACTIVITY HO 97-B3323 <br />TYPE = Hew Hanufactured Dwelling STATUS APPLIED <br />OCCUPAHCY = R-3 APPLZED ~5/~9/1997 <br /> TO EXPIRE 11/~5/1997 <br /> PAGE 1 <br /> <br />WI!RK DE'~C : NEW HD HOME/CARPORT t97-3324 <br /> <br />SITF ADDRESS : CITY: KEIZER 6454 TEPPER PARE WY NE KZ <br /> <br />.ROSS STREET : TEFPER I..N hie <br /> <br />ARCEL NUHHER : KZ LAND USE.. <br />PARCEL. SITE : 4180.00 SF <br /> <br />OWNER NAMF : FERRIN GARTH <br /> <br />APP.I~ANT <br />NAME : ALLEN GEORGE E <br />ADDRESS : 4529 AGATE DR SE <br /> <br /> ~ALEM~ OR 97301 <br />PHONE : ~81-90~5 <br /> <br />C(JNTRACTOR/ : ALLEN GEORGE E <br />AGENT : ALLEN GEORGE E <br />FHONE : ~o..-?~ <br /> <br />[NSTA!.L~iR : <br /> PHONE : <br /> <br />UNIT SQ FT : <br /> <br /> OCCB: 0107087 <br />HOI LICENSE: <br /> <br />Units DeD~r~iption Fee <br />1 Manufactured dwelling fee <br />1 State sur'cherge I2.25 <br />I State administrative fee 20~00 <br />i Zone surcharge 24.50 <br /> <br /> Assessed fees : 301.75 <br /> Ad justMents : .00 <br /> Total fees : 301.75 <br /> PAYFE: AL[FN GFOR~F E Total payments: ~01.75 <br /> ·.. nc . ~ : .00 <br />******************************************************************************* <br />PI~C SS-TH~TSE~[S NOT A PERHIT. THIS APPLICATION HUST GO THROUGH A S[~LTAHEOUS REVIEg <br /> ~ERE ZOHIHG~ S~TIC (IF ~LICABLE) AHD SITE PLAH IS ~ECKED PRIOR TO <br />THE ISSU~CE OF A PERfllT. IT IS THE RESPONSIBILITY OF THE APPLICAHT TO A~URE <br />THAT ALL HECESSARY IHFORHATIOH IS PROVIDED. AS ~H AS ALL REOUIREHEHTS OF THE <br />~VIEW HAVE BEEH HET, YOU ~LL BE HOTIF~D THAT YOUR PERHIT HAS BEEH ISSUED. <br />S7 <br /> ~NA <br /> <br />***************************************************************************-- <br />DONALD E WOOD[EY, MAR[ON COi!NTY BIJIL.DING OFFICIAL / BY DSTONE ~ V <br /> .................... OF' CE ,JS ONLY .......... <br />~'~P: 6'~2"7~'NF: tiT ~ PROPFRTY OCATOR' / ' <br />REI~ID SET~CKS:Frmr['~ ~9 l.eft: 9~' Righ*~ 9~1 Rear,~' Special, <br />P!AN RI VIEW [1NJ'NC REVIEW: DATE: <br /> <br /> <br />