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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 o Phone: (503)588-5147 · 24-HR Inspection Line: (503)588-7904 <br /> <br /> HANUFACTURED DWELLING APPLICATION <br />DATE/TIME : 07/17/9S ~8:25 STATUS : APPLIED <br />PERHIT NO : 95-14299 APPLIED = 07/18/1995 <br />TYPE : New Manufactured Dwelling <br />CLASS : TO EXPIRE : 01/14/1996 <br />OCCUPANCY ~ R-S PAGE 1 <br /> <br />WBRK DESC : NEW HD <br /> <br />S:[TE ADDRESS : CZ'fY: MARION COUNTY <br /> 11015 DALY RD NE AR <br /> <br />PA~[;E[,. SZZE <br />OWNER NANE <br /> <br />~PPL, ZOANT <br /> N~ME <br /> Al)DRESS <br /> <br /> PHONE <br /> <br />CONTRACTOR <br /> PHONE <br /> <br />IN$~'ALLE'R <br />PHONE <br /> <br />UNIT SQ FT <br /> <br />: BURCESS.DON R & KATHLEENiM <br />: 2~88:1, SCHULTZ RD NB <br /> PORTLAND~ OR <br /> <br />: BURGESS~DON R & KATHLEEN~H <br /> <br />97002 <br /> <br />OCgB. <br /> <br />HDI [.lC: <br /> <br />~2.25 <br />20.00 <br /> <br /> Assessed fees : 297.25 <br /> Totat 'Fees : 297.25 <br /> <br /> ~(]lq~[.~ E. ~OOD[_EY~ ~I~ON COUNTY ~U~L~[N~, OFFZC[~I,,, / ~Y CL. YI,ICH <br /> <br />......................... F~R OFI::'~CE UgE ONLY. THZ~ ES ~S NOT A PE~H~T ................................ <br /> HAP: J. ZONE: AR PROP~ER~Y LOOATOR: <br /> ,.,I...fBACk,,,,, Front Lef't: R ght Rear- Spa <br /> <br /> <br />