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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) 588-7904 <br /> <br />DATE/TINE ' <br />I'YPE <br />OCCUPANCY <br /> <br /> NANUFACTURED DWELLING' PERHIT <br />g2/28/96 le:3g PERNIT NO <br />New Hanufactured DwelIing STATUS <br />R-3 ISSUED <br /> TO EXPIRE <br /> PAGE <br /> <br />: 96-01141 ~ <br />: ISSUED <br />: 02/28/1996 <br />: 88/26/1996 <br /> 1 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />CROSS STREET <br /> <br />PARCEL NUMBER : 5629?-000 <br /> PARCEL SIZE : 5500.0 SF <br /> <br />OWNER NAHE : CENTRAL HOMES <br /> <br />: JOHN A. ROEHM <br />: 17277 S. FERNWOOD <br /> MOLALLA, OR <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />PHONE : 981-3141 <br /> <br />CONTRACTOR/ : COMH WOODBURN.INC <br />AGENT ROEHM, JOHN <br />PHONE ~ 981-3141 <br />INSTALLER : <br />PHONE : <br /> <br />UNIT'SQ FT : 1400 <br /> <br /> CITY: AUHSVILLE <br /> <br />PROPERTY LOCATOR: 081Wa0 02500 <br /> ZONE: RM <br /> <br />97038 <br /> <br /> OCCB: 0014922 <br />MD LICENSE: <br /> <br />Units Descr,iptiqn Fee <br />Il ManufaCtured dwelling fee 245,00 <br />1 State surcharge 12.25 <br />1 State administrative fee 28.80 <br /> <br /> Assessed fees : 277.25 <br /> AdjustMents : .00 <br /> Total fees : 277.25 <br />PAYEE: JOHN A. ROEHM Total PaXMents: 277~25 <br /> Balance due : .BB <br /> <br />THIS PERNIT IS ~3N-TRANSFERADLE AND EXPIRES 11~ ItAYS FR~ ISSUE DATE IF WORK <br />H~S NOT CONNENCED. OR IF CONSTRUCTION CEASES FOR A PERIOD OF 1Sa DAYS. OR IF <br />CONSTRUCTION FAILS TO NEET ALL Rt~QUIRENENTS OF STATE LAWS AND NARION COUNTY <br />ORDII~CES. UPON URITTEN REQUEST, ~E SIX NONTH EXTENSION HAY BE GRANTED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E WOODLEY~ MARION COUNTY BUILDING OFFICIAL / BY DFREILIN~L_~ <br /> <br /> <br />