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DATE/TIME <br />TYPE <br />UGB: <br /> <br /> MANUFACTURED DWELLING PERMIT <br /> : 09/24/99 13:48 <br /> : New Manufactured Dwelling <br />SITE: FD <br /> <br />PERMIT NO <br />STATUS <br />ISSUED <br />TO EXPIRE <br />PAGE <br /> <br />99-87769 <br />ISSUED <br />09/24/1999 <br />03/22/2000 <br />1 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />: MANF HM REPLACEMENT <br /> <br /> 10333 WISEACRE LN NE AR <br /> <br />LOCATOR: 04IW30A 00500 <br /> CITY: MARION COUNTY <br /> <br />MHP (Y/N) N <br />MHP/ MH SUBDIV: <br /> <br />LOT: <br /> <br />TAX ACCOUNT : 75790-290 <br /> PARCEL SIZE : 1.9AC MAP: 6R <br /> <br />OWNER <br />APPLICANT <br /> ADDRESS <br /> <br />PHONE <br /> <br />CONTRACTOR/ <br /> AGENT <br /> PHONE <br /> <br />INSTALLER <br />PHONE <br /> <br />UNIT SQ FT <br /> <br />WELLS,TAMI <br />WELLS.TAMI <br />PO BOX 661 <br />CANBY OR <br /> 97013 <br />503 519-2618 <br /> <br />CARVER ENTERPRISES LLC <br />WELLS.TAMI <br />769-7744 <br /> <br />HEIGHT: <br /> <br />ZONE: EFU LAND USE: ADH 99-44 <br /> <br /> OCCB: 0098940 <br />MD LICENSE: <br /> <br />Units Description Fee <br />i Manufactured dwelling fee.. 305.00 <br />i State surcharge 21.35 <br />i State administrative fee 30.00 <br />1 Zone surcharge 30.00 <br /> <br /> Assessed fees 386.35 <br /> Adjustments .00 <br /> Total fees 386.35 <br />PAYEE: WELLS,TAMI Total payments: 386.35 <br /> Balance due : .80 <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 />C0NSTRUCTION FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY <br />ORDINANCES. UPON WRITTEN 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 />FZ.I L E <br /> <br /> <br />