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MARION COUNTY UILDING INSPECTION <br /> COMMUNI'FY 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 />DATE/TIHE <br />TYPE <br />OCCUPANCY <br /> <br /> I~UFACTURFD DWFLLIHG PERHIT <br />= gl/~5/96 11=14 PERHIT NO <br />: Ne~ Hanufactured D~elling STATUS <br />: R-3 ISSUED <br /> TO EXPIRE <br /> PAgE <br /> <br />96-~Be16 <br />ISSUED <br />B1/BS/1996 <br />~7/~3/1996 <br />1 <br /> <br />WORK-DESC <br /> <br />~['rE ADDRFSS <br /> <br />: NMFG/WINDENERE MEADOWS SPt57 <br /> 613 WINDEMERE BT SE AM <br /> <br />CITY: AUMSVILLE <br /> <br />CROSS STREET : M~L,L CREFK RD <br /> <br />PARCEL NIJMBER : 56~97-888 <br /> PARCEL SIZE : 6828.8 SF <br /> <br />OWNER NAME : CENTRAL HOMES <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />: ROEHM JOHN A <br />: 17277 S FERNWOOD <br /> <br /> MOLALLA, OR <br />PHONF : 829-4872 <br /> <br />CONTRACTOR/ : ROEHM JOHN'A <br />AGFNT ROEHM,JOHN <br />PHONE } 829-4871 <br />INSTAL[ER : <br />PHONE : <br /> <br />LINZT SQFT : 1588 <br /> <br />PROPERTY LOCAl'OR: 881W38 82388 <br /> ZONE: RM <br /> <br />97838 <br /> <br /> OCCB: 8896335 <br />MD LICENSE: 8896335 <br /> <br />Units Oescriptioq .......... Fee <br />-*~ ~ MenUfactUred dwelling Y~e 245',0'8~ <br />1 State surcharge 12.25 <br />'1 State administrative fee 28.88 <br /> <br /> Assessed fees : 277.25 <br /> Adjustments : .88 <br /> Total fees : 277.25 <br /> Total paxments: 277.25 <br />PAYEE: ROEHM ..JOHN A Balance due : <br /> <br />THIS PERHI~ IS N~-TR~FE~FERADLE ~ND EXPIRES 18~ DAYS FROH ISSUE DATE IF gORK <br />HAS NOT CDHHEHCED. OR IF COHSTRUCTION CEASES FOR A PERIOD OF 1~ D~YS. OR IF <br />CONSTRUCTION FAILS TO HE'ET ALL REgUIREHENTS OF STATE LAgS ~ND HARIOH COUNTY <br />ORD~HANCES. UPOH IJRZTTEN REgUESTs ONE SZX HONTHEXTENSZON FlAY BE GRANTED. <br /> <br /> SIGNATURE OF APPLICAHT: <br /> <br /> DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY DFRE'ILIN'_I~ <br /> <br /> <br />