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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 Une: (503) 588-7904 <br /> <br />DATE/TIME <br />TYPE <br />OCCUPANCY <br /> <br /> MANUFACTURED DWELLING PERMIT <br />: 82/27/?6 10=21 PERMIT NO <br />: Ne~ Hanufactured O~elling STATUS <br />: R-3 ISSUED <br /> TO EXPIRE <br /> PACE <br /> <br />: 96-00697 <br />: ISSUED <br />: 82/27/1996 <br />:.08/25/1996 <br /> 1 <br /> <br />WORK DFSC <br /> <br />: RFF'I, ACF 27X60 MH W/]996 28X66;2ND MH TO BE RHVD <br /> <br />SITE ADDRESS <br /> <br />CITY: MARION COUNTY <br /> <br />9264 SHAW SQUARE RD SE AM <br /> <br />CROSS SrR...E/ : .qlI.VER FAIJ.S HY .?E <br /> <br /> · Fi 5 <br />PARCE'L NIIHBFR : 74, <br /> PARr:El..q[ZE : 2..0 AC <br /> <br />PROF'FRTY LOC. ATOR: 882W13DAe1200 <br /> ZONE: AR <br /> <br />OWNFR NAHF : H)[tER, DFNNIS ASR & HF~DI l' <br /> <br />APPI. ICANT <br /> NAMF <br /> AI) T)RES$ <br /> <br />PHONF <br /> <br /> ALhSV~I.[ F~ OR <br /> <br />: 375-2.1 .I 6 <br /> <br />f;fJN I'RACTOR/ : OCCB: <br />A;;FN1 <br />PHONE <br />YI,I~'FAi I. FR : MD L~CEI,ISE: <br />PHf.INE <br /> <br />IIN.TT SQ F1 <br /> <br />Units D.-~scr i,o tion Fee <br /> <br /> l Sta~ surcharge 12.25 <br /> ~ St',~te adMJ n:i s~rat'~ ve'fe, e ,.8.88 <br /> 1 Z,'m:? sLirchar,j~ 2~, ~ <br /> <br /> Assessed fees : 297,25 <br /> AdjustMents : .00 <br /> Total fee~ : 297.25 <br />F'AY~E: MII..t.ER~OENNIS ASR & HEIOI l' Tota! paxMent~: 297,25 <br /> B~lance ~ue : .00 <br />********************************************************************************** <br />T~IS PERMIT IS HON-TRANSFERA~LE AHD EXPIRES 188 I~YS FRUM ISSUE DATE IF OORK <br />HAS NOT COMHENCED. OR IF COHSTRIJCTIOH CEASES FOR A PERIOD OF 188 DAYS. OR IF <br />~NSTRUCTION FALLS TO MEETIi[_L REQUIREMENTS OF STATE LA~S AND MARION COUNTY <br />ORDINANCES. OPON I~,,ITTEN~U~...~vC~.0fl~R~E'~IJE~T~ ONE ~[X MONTH EXTENSION MAY ~E GRANTED. <br />SIGNhl?UR~ [!F APPIIC~,NI: <br /> <br />gONAID E WOO~JE~Y~ ~AR]ON COLINIY BII]'LD~N(; OFFICIAl / BY I'NEAL <br /> <br /> <br />