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MARION COUNTY BUILDING INSPEC11ON <br /> COMMUNrrY DEVELOPMENT CEI~rI'ER <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 Une: (503) 588-7904 <br /> <br /> HAflUFACTURE) DWELLIHG PERHIT <br />DATE/TIHE ; B1/12/~6 1~=1~ PERHIT ND = ~-BBJ4B <br /> <br /> ISSUED : 81/12/1996 <br /> TO EXPIRE : B7/1~/1976 <br /> P~rE 1 <br /> <br />WORK DESC : NHFG-3 BORS (CENTURY MEADOWS PHASE J-LD'F 5) <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 11648 KINGFISHER LN NE AR <br /> <br />CROSS STREET : MEADOW DR NE <br />PARCEL NUMBER : 70550-240 <br /> <br />PHONE <br /> <br /> PARCEL SIZE : 7650.0 SF <br /> <br />OWNER NAMF : CHAPMAN, D ORAN L <br /> <br />APPLICANT <br />NAME : BARBETTE CHAPMAN <br />ADDRESS : 11648 KINGFISHER LN NE <br /> AURORA, OR <br /> : HM;678-5884 <br /> <br />PROPERTY LOCA'FOR: 831W33C007608 <br /> ZONE: AR <br /> <br />97002 <br /> <br />CONTRACTOR/ : COMH WOODBURN INC OCCB: 0014922 <br /> AGENT :CHAPMAN, BARBETTE <br />PHONE : 981-3141 <br />INSTALLER : MD LICENSE: <br />PHONE : <br /> <br />UNIT Sfl FT : <br /> <br />Units Description Fee <br />-T M~iiu-Tac~u~-i~-d~e.-~ng~ 240,'0~ <br />I State s~r~h~rge . 12.25 <br />I Stete aoM~.nistrarive fee 28.88 <br />1 Zone surcharge 29.00 <br /> <br /> Assessed fees : 297.25 <br /> AdjustMents : .08 <br /> Total fees : 297.25 <br /> Total paxMents: 297.25 <br />PAYEE: BARBETTE CHAPMAN Balance ~ue : .00 <br /> <br />THIS PERHIT IS NON-TRANSFERABLE AND EXPIRES 189 D/tYS FRD~I ISSUE DATE IF ~ORK <br />H~S NOT COHHENCED, OR IF CONSTRUCTION CEASES FDA A PERIOD OF 18~ DAYS, OR IF <br />COflSTRUCTION F~[LS TO NEET ~LL REgUIREHENTS OF STATE LA~S AND H~RION COUNTY - <br />ORDINANCES. IJPOH #RITTEN REGUEST~ ONE SIX HONTH EXTENSION HAY BE GRANTED. <br />SIGNATURE OF APPLICANT: <br /> <br />DONAL)) E WOODLEY, MARION COUNTY BI~ILDING OFFICIAL / BY DFREILd~IN ~~ <br /> <br /> <br />