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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 * 24-HR Inspection Line: (503) 588-7904 <br /> <br /> MANUFACTURED DWELLING APPLICATION <br />DATE/TiME : 03/27/95 11:59 STATUS : APPLIED <br />PERMIT NO : 95-11266 APPLIED : ~/27/1995 <br />TYPE : New Manufectured Dwelling ISSUED : <br />CLASS : TO EXPIRE : <br />OCCUPAHCY : R-5 PAGE <br /> <br />WORK I)ESC : MD:REPLACEMENT S TO 2 BEDRMS <br /> <br />SI[,. ADDRESS <br /> <br />CROSS S'TREE'T' :: <br /> <br />PARCEL NUMBER : <br />OWNER NAME : <br /> <br />APF'LICANT <br /> NAM~ ._ -~', : <br /> A I) D I'¢ [::. S o : <br /> <br />P H 0 N E .' <br /> <br />CONTRACTOR <br />PHONE <br />INSTAL, LER <br /> PHON~! <br /> <br />LJNi[ T SIZE <br />PARCEL SiZE <br /> <br />2:1,0 HYERS ST I)T <br /> <br />[,AKli~ AVE' E <br /> <br />66969-001 <br />~COTT~R[]BERI' G & AL,ICE R <br /> <br />SCOTTs~OBERT (; & AI,,ICE R <br />6170 MCLEOD DR FIE <br />KEIZER~ OR <br /> <br />39~.-7954 <br /> <br />STERLING FtCIMES INC <br />661-4849 <br /> <br />CITY: DETROIT <br /> <br /> 97303 <br /> <br /> OCCB: 96586 <br />fiDI LIC: <br /> <br />Un:L'~:s Desc r ip'~'i c~t'l Fee <br /> <br /> 1 State surcharqe i2,25 <br /> 1 State adminis~¥'ative fee <br /> <br />A~sessed 'Fees : 2'77~25 <br />AdjustMents : <br />'total fees : 277.25 <br />Total pay~ents: 277.. 25 <br /> <br />l.,,~ .~., !., k!ili/[)i ';"/.~ M);kl'O,I MLIN:Y ~.UILI).[I% OFFICIAL / BY LI_YN( .... <br /> <br />................... FOR OFFICE USE DNLY. THIS I~ NOT A PERMIT ...................... <br /> <br /> <br />