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MANUFACTURED DWELLING PERMIT <br />DATE/TIME : 04/16/99 15:22 PERMIT NO <br />TYPE : New Manufactured Dwelling STATUS <br />UGB: SITE: ISSUED <br /> TO EXPIRE <br /> PAGE <br /> <br />99 02699 <br />ISSUED <br />04/16/1999 <br />10/13/1999 <br />1 <br /> <br />WURK U55C <br /> <br />SITE ADDRESS <br /> <br />MHP (Y/N) N <br />MHP/ MH SUBDIV: DEERCREEK EST 2 <br /> <br />: MD REPLACEMENI <br /> <br /> 12581 WISTERIA CT NE AR <br /> <br /> LOT: 4 <br /> <br />LOCATOR: 041WllBD01100 <br /> CITY: MARION COUNTY <br /> <br />TAX ACCOUNT : 71010-300 <br /> PARCEL SIZE : .OAC MAP: 3R ZONE: AR LAND USE: <br /> <br />OWNER <br />APPLICANT <br /> ADDRESS <br /> <br />MAUS LESLIE A & DIANA J <br />ML MILLER CONSTRUCTION INC <br />5816 ST LOUIS RD <br /> <br /> GERVAIS. OR 97026 <br />PHONE 921-1655 <br /> <br />ML MILLER CONSTRUCTION INC <br />ML MILLER CONSTRUCTION INC <br />931-t655 <br /> <br />CONTRACTOR/ <br /> AGENT <br /> PHONE <br /> <br />INSTALLER <br />PHONE <br /> <br />OCCB: 0114805 <br /> <br />MD LICENSE: <br /> <br />UNIT SQ FT HEIGHT: <br /> <br /> Units Description Fee <br /> 1 Manufactured dwelling fee.. 305.00 <br /> 1 State surcharge 15,25 <br /> 1 State administrative fee 30.00 <br /> 1 Zone surcharge 30.00 <br /> <br /> Assessed fees 380.25 <br /> Adjustments .00 <br /> Total fees 380.25 <br /> PAYEE: ML MILLER CONSTRUCTION INC Total payments: 380.25 <br /> Balance due : .00 <br /> <br /> THIS PERMIT IS NON-TRANSFERABLE 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 GRANTED. <br /> <br /> SIGNATURE OF APPLICANT: <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 />