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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) 373-4427 <br /> <br />DATE/TIHE <br />TYPE <br />OCCUPANCY <br /> <br /> HANUFACTURED DWELLING PERHIT <br />B8/15/96 1B:27 PERMIT NO <br />New Manufactured D#elling STATUS <br />R-~ ISSUED <br /> TO EXPIRE <br /> PAGE <br /> <br />: 96-e5~35 <br />: ISSUED <br />: 88/15/1996 <br />: ~2/11/1997 <br /> 1 <br /> <br />WORK DESC : MFG 3BEDR REPL: 2BEDR <br /> <br />SiTE ADDRESS : <br /> <br />CITY: MARIOH COUNTY <br /> <br />9285 BATES RD SE AM <br /> <br />CROSS STREE] : WFST STAYTON <br /> <br />PARCEL NUMBER : 58295-008 <br /> I~ARCEL. SIZE : 3.0AC <br /> <br />PROPERTY LOCATOR: 082W36A 01080 <br /> ZONE: AR <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAHE <br /> ADDRESS <br /> <br />PHONE : <br /> <br />: JURICICH~JEAN E <br /> <br />: GIGOUX-JURICICH, TAMMY <br />: 9285 BATES RD <br /> AUMSVILLE, OR <br /> <br />97325 <br /> <br />CONTRACTOR/ : QCCB: <br /> AGENT : <br />PHONE : <br />INSTALLER : MD LICENSE: <br />PHONE : <br /> <br />UNIT SQFT : <br /> <br />Units De~,~cription <br />~ t~-~i.,fac.~Ur~ 'd'W~'],i"~'n'g f~e' 245.88 <br />I S~mi-e surcharqe 12.25 <br />1 State adMi~'~is'_r~tive~ fee 28.88 <br />I Zone surcharge 28.88 <br /> <br /> Assessed fees : <br /> Adjust~ents : - <br /> Total fees : 2~7.25 <br />~AYEE. GI~OtlX-JUR)CICH~TAMMY Total pax~ents: 277.25 <br /> Balance ~ue : .00 <br />********************************************************************************** <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 18~ DAYS FROM ISSUE DATE IF WORK <br />HAS NOT COHHENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 18~ DAYS, OR IF <br />CONSTRUCTION FAILS TO MEET ALL REQUIREHENTS OF STATE LAWS AND MARION COUNTY <br />ORDINANCES. UPON HRITTEH REQUEST, ONE SIX MONTH EXTENSION HAY BE GRANTED. <br /> <br />S~GflATURE BF APPLICANT: <br />********************************************************************************* <br />DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY DSTONE <br /> <br /> <br />