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(/Q I I 4?b Copy to Mindy-Please let Anni know <br /> when acct# is created, thank you! <br /> Assessor Monthly Issued. Permit Report <br /> For 2/1/2025 to 62/2.8/2025 <br /> PERMIT#: 555-25-000149-MD STATUS: Permit Issued <br /> PERMIT TYPE: Residential APPLIED: 1/7/2025 <br /> SUB-TYPE: Manufactured Dwelling ISSUED: 2/7/2025 <br /> CATEGORY: Comprehensive EXPIRES: 8/6/2025 <br /> OFFICE: MC MANUFACTURED HOME INFORMATION <br /> PARCEL#: 072W07BC00800 LOCATION: In Park <br /> ACRES: 21.14 MANF DATE: <br /> SUBDIV: MODEL: <br /> LOT/BLOCK: / SERIAL#: <br /> ADDRESS: 4155 LANCASTER DR NE 91 SALEM, OR 97305 <br /> RELATIONSHIP NAME ADDRESS PHONE <br /> (MDI)MANUF MIKE A HUMPHREY 1523 SE 162ND#8 PORTLAND,OR 97233 5039548487� _5 <br /> DWELLING <br /> INSTALLER <br /> APPLICANT 123HMJ LLC 4155 LANCASTER DR NE SALEM,OR 97305 503-954-7705 <br /> CCB MICHAEL ALLAN 1523 SE 162ND 8 PORTLAND,OR 97233 5039548487 <br /> HUMPHREY <br /> OWNER 123HMJ LLC 1351 31ST AVE NE SALEM,WA 97301 <br /> SITE CONTACT 123HMJ LLC 4155 LANCASTER DR NE SALEM,OR 97305 503-954-7705 <br /> CONST CAT: Manufactured Dwelling �^n .,,� • <br /> WORK TYPE: Replacement G'` ' • (‘A.A011e, ale/ <br /> WORK DESC: (#91)MFD PLACEMENT 3BED/2BATH <br /> VALUATION: $1.00 <br /> STORIES: <br /> BATHS: KITCHENS: <br /> SQUARE FEET <br /> HABITABLE: <br /> EXISTING: <br /> NEW: <br /> TOTAL SQ. FT.: <br /> OCCUPANCY CONSTRUCTION TYPE SQ FT or#OF SPACES <br /> R-3 1 &2 family VB 1568 Sq Ft <br /> Report:Monthly Issued Permits for Assessor <br /> Folder:/Public Works/Building Inspection/ePermitting Executed:Sat 01 March 2025 06:00:21 <br /> Server:https://reports.intra.co.marion.or.us/ReportServer Page:42 of 97 <br />