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te5NCI\ Nc& C\T'Vl tw-ti <br /> An 40`i <br /> CITY OF... 'V1- 4W7 <br /> , Building and Safety .AT YOUR SERVICE City Hall <br /> PAC:(503)588-6256 555 Liberty St SE <br /> Inspections:(503)588-6256 Room 320 <br /> Fax:(503)588-6115 0 Salem, OR 97301-3503 <br /> SUNNYSIDE MOBILE HOME PARK Building Seq#: 17-117395-BP <br /> 4940 SUNNYSIDE RD SE Date Issued: September 15,2017 <br /> SALEM OR 97302-3524 <br /> V) 7 <br /> Property Address: 4995 SUNNYSIDE RD SE SPC 5 <br /> Legal Description: Sub: SUNNYSIDE FRUIT FARMS NO 2 Lot:3 Blk:0 <br /> Tax Lot#:083W 10DC03400 Twn: 8 Rng:3 Sec: 10 • <br /> Description of Work: Manufactured Dwelling-New-MFH PLACEMENT <br /> • <br /> Info: <br /> 1st Review Estimated Turn Time:COM 20 Contractors'Construction Board#:167959 Plan Type Review:PAPER <br /> Edition of Oregon Specialty Code?:OMDISC 2010, #Sheets Smaller than size C:11 In City Limits?:Yes <br /> Edition <br /> In Floodplain?:No Landslide Hazard?:0 In USA?:Yes <br /> In UGB?:Yes In Wetlands?:No Urban Renewal Area:None <br /> Photo Copies:10 Inside Park/Outside Park MFH:Inside Park <br /> Owner: Contractor: <br /> FRANCES GALLAND 3 A CONSTRUCTION LLC <br /> 4940 SUNNYSIDE RD SE 1690 HARVEY ST SE <br /> SALEM OR 97302-3524 JEFFERSON OR 97352 <br /> Work:(971)218-3568 <br /> Contact: Applicant: • <br /> JEANETTE STOUDENMEYER SUNNYSIDE MOBILE HOME PARK <br /> 4940 SUNNYSIDE RD SE 4940 SUNNYSIDE RD SE <br /> SALEM OR SALEM OR 97302-3524 <br /> Work:(503)364-4538 <br /> • <br /> • <br /> I,the undersigned,certify the information provided above is correct and true. I agree to complete the installations in <br /> compliance with all state and local laws,codes,rules,regulations,approved plans and specifications,and to call this <br /> office one working day in advance for all required inspections: qt}I"? r,CD <br /> Signature: Date: <br /> This permit expires if work or construction authorized is not commenced with 180 days,or if construction or <br /> work is suspended or abandoned for a period of 180 days at any time after work has commenced. <br /> • <br /> Form:Building Permit(bldg) 9/18/2017 Issued by:Twila Pichardo <br />