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MARION COUNTY. BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE * Reom 132 * Salem, Oregon 97301-3670 <br />Office Hours: 8:1XI-4:30 · Phone: (503) 588-5147 * 24-HR Inspection Line: (503) 588-7904 <br /> <br />DATE/TTHF. <br />TYPE <br />8CCUPA~,Y <br /> <br /> HANIIFACTIJREO O~[I/.ING PERHIT <br />&]/88/S& 87:33 PERHIT NO <br />New Nanufactured belling STATUS <br />R-3 ISSUED <br /> TO EXPIRE <br /> PAGE <br /> <br />96-~37 <br />ISSUED <br />~1/~8/1996 <br />07/86/I996 <br />! <br /> <br />W(1RK l~FSC. <br /> <br />SITE AOORESS <br /> <br />: MF(; HOMF SP t:l.~ - WTNI)EHFRE MEAi)OW, <br /> 618 W~NDEMFRE ST SE AM <br /> <br />CITY: AUMSV[!_LE <br /> <br />CROSS STREET : Mll.I. CREEK RO <br /> <br />F'ARCFL NtlM~FR : 5~799-0~0 <br /> PARCEl. SIZE : 55~.~ SF <br /> <br />PROPFRTY LOCATOR: 081g30 02300 <br /> ZONE: RM <br /> <br />DWNER NAMF =CENTRA[ HOMFS <br /> <br />APP!..~CANT <br /> NAMF <br /> <br />: ROFHM JOHN A <br />: 17277 S FERNWOOD <br /> <br /> MO[AILA~ OR <br />PHONE : 829-4871 <br /> <br />97038 <br /> <br />CONTRACTOR/ : ROEHM JOHN A <br /> AGENT ~ ROEHM,.JOHN <br /> PH~NF . 829-4~7~ <br />INfiTAI.I.ER <br /> PHONF <br /> <br /> OCCB: 0096335 <br />MD LICENSE: 0096335 <br /> <br />UNIT SQ FT : 1173 <br /> <br />Units DeScription ..... Fee <br />-~ HmniifmCtured' dwell'ins fee 24~, 0~ <br />1 State surcharge .~.~° ~ <br />I State administrative fee 20.00 <br /> <br /> Assessed fees : 277.25 <br /> AdjustMents : .00 <br /> Totel fe~s : 277.25 <br /> Total paxments: 277.25. <br />PAYEE: ROEHM JOHN A Balance Sue : .00 <br /> <br />THTS PERHIT IS N~-TRANSFERA~LE ANI EXPIRES 18~ DAYS FRON ISSUE DATE IF'UORK <br />HAS NOT COHHENCEO, OR IF CONSTRUCTION CEASES FOR A PERIOD OF ~86 lAYS, OR IF <br />CONSTRUCTION FA[CS TO HEET ALL REQUIREHENTS OF STATE LA~S AND HAR[UN COUNTY <br />ORSINANCES. UPON #RITTEN REOUEST, ONE SIX HOHTH EXTENSION HAY BE GRAHTED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> ,--x--... <br />DONALD E WOODI. EY, MARION COtlflTY BUILDIIqG OFFICIAL / BY DF'REILIN~ <br /> <br /> <br />