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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 255 Church Street NE · Room 132 * Salem, Oregon 97~01-3670 <br />Office Hours: 8:0044:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br />DATE/TIME 05/28/95 l~:iS STATUS APPLIED <br />PERMIT MO ?5-I1S~ APPLIED 05/28/1995 <br />TYPE New Manufactured Dwelling ISSUED <br />CLASS TO EXPIRE ~9/24/1795 <br />OCCUPANCY R-5 PAGE <br /> <br />WORK I)ESC : MF(; H/)ME~ CARPORT -- SP :~86 .... MILL CREEK ESTATES <br /> <br />S]:'FE ADDRF::SS : 22,1. BELLEVUE I)R AM <br />CROSS STREET ,,: ESSEX <br /> <br />PARCEL IqUNBER : AH <br />8NNER NAME r, CENTRAL HOMES <br /> <br />AF'F'L l CAN T <br /> <br /> ADlr)HESS : <br /> <br />CFNTRAL HOMES <br />285 S PACIFIC HWY <br />WOOI)BURN~ OR <br /> <br />F'HONE r, 9S1-S141 <br /> <br />CONTRACTOR : COHH WOODBURN INC <br />PHONE : 981-3141 <br />IN.r,~I'AL. LER : <br />F'HONE : <br /> <br />UNIT SIZE <br />PARCEl, SIZE <br /> <br />CITY: AUMSV:£1_LE <br /> <br />97071 <br /> <br />OCCB: 14922 <br />LIC: <br /> <br />U n i t s Desc r i p'!:: i o~ <br /> '"[ .............................. ~i'~nu'f'~'~"~ire( (¢~ll~g fee <br /> 1 SLate surcharge <br /> 1 St:ate administrative 'Fee <br /> <br />12.25 <br /> <br />Assessed fees : 277.25 <br />Ad just~ent's : .00 <br />'Total fees : 277,25 <br />T o t m 1 p a ym e n t s: 2 '77 ,, 25 <br /> <br />.................. FO~ OFFICE USE ONLY. IH!S I~ WOT A PERMIT ..................... <br /> <br /> <br />