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MANUFACTURED DWELLING PERMIT <br />DATE/TIME : 02/19/99 14:17 <br />TYPE : New Manufactured Dwelling <br />UGB: SITE: <br /> <br />WORK DESC : I~qNE REPLACEMENT <br /> <br />SITE ADDRESS <br /> <br />MHP (Y/N) <br />MHP/ MH SUBDIV: <br /> <br />11525 MCCLELLAN LN SE AM <br /> <br />N <br /> LOT: <br /> <br />PERMIT NO 99-01142 <br />STATUS ISSUED <br />ISSUED 02/19/1999 <br />TO EXPIRE 08/18/1999 <br />PAGE 1 <br /> <br />LOCATOR: 092W13DA01300 <br /> CITY: MARION COUNTY <br /> <br />TAX ACCOUNT : 75440-400 <br /> PARCEL SIZE : ,4AC MAP: 62 ZONE: AR LAND USE: <br /> <br />OWNER <br />APPLICANT <br /> ADDRESS <br /> <br />PHONE <br /> <br />HALES.GARY A & EATHLEEN <br />HALES,GARY A & KATHLEEN <br />11525 MCCLELLAN LN SE <br />AUMSVILLE,OR <br /> 97325 <br />769-2800 <br /> <br />PETERSEN CUSTOM CONSTRUCTION CO <br />HA[ES.GARY A & ICqTHLEEN <br />227-2119 <br /> <br />CONTRACTOR/ <br /> AGENT <br /> PHONE <br /> <br />INSTALLER <br />PHONE <br /> <br />OCCB: 0090077 <br /> <br />MD LICENSE: <br /> <br />UNIT SQ ~ HEIGHT: <br /> <br /> Units Description Fee <br /> t Manufactured dwelling fee 305.00 <br /> 1 State surcharge 15.25 <br /> 1 State administrative fee 20.00 <br /> 1 Zone surcharge 20.00 <br /> <br /> Assessed fees : 280.25 <br /> Adjustments : .00 <br /> Total fees : 280.25 <br /> PAYEE: I~q[ES,GARY A & K~qTHLEEN Total payments: 280.25 <br /> Balance due : <br /> <br /> THIS PERMIT IS NON-TPa~NSFERABLE AND EXPIRES 180 DAYS FROM ISSUE DATE IF WORK <br /> HAS NOT COMMENCED. OR IF CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF <br /> CONSTRUCTION FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY <br /> ORDINANCES. UPON WRI~EN REQUEST, ONE SIX MONTH EXTENSION MAY BE GP~qNTED, <br /> <br /> SIGNATURE OF APPLICANT: <br /> <br /> DONALD E. WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY DSTONE <br /> <br /> Marion County Building Inspection <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 /> <br />