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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: (S03) 588-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br />DATE/T[HE <br />TYPE <br />OCCIJPN, iCY <br /> <br /> HAHUFACTURED D#ELLII~ PERIIZT <br />~3/21/96 lB.: 19 PERHZT NO <br />Hew Hanufactured D~elling STATUS <br />R-3 ISSUED <br /> TO EXPTRE <br /> PAgE <br /> <br />: 96-~1588 <br /> <br />..: ISSUED <br /> B3/21/1996 <br /> <br />= ~9/17/1996 <br /> 1 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />: MFG HOME - SP t1~5 - WiNDEMERE MEADOWS <br /> ~41 STAFFORD ST SE AM <br /> <br />CITY: AUMSVILLE <br /> <br />CROSS STREET : MILL CREEK RD <br /> <br />PARCEL NUMBER : 56299-BOB <br /> PARCEL SIZE : 1316.BSF <br /> <br />PROPERTY LOCATOR: BBIW3B B230B <br /> ZONE: RM <br /> <br />OWNER NAME : JOHNSON, MIKE.& VILES, KORI <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />: PHILIPPI,.BRETT <br />: 1543 FERN RIDGE RD <br /> STAYTOH, OR <br /> <br />PHONE : 373-919B <br /> <br />97383 <br /> <br />CONTRACTOR/ <br /> AGENT <br />PHONE <br />INSTALLER <br /> PHONE <br /> <br />: D O SULLIVAN INC OCCB: B0~49~7 <br /> <br />: 981-~146 <br />: MD LICENSE: <br /> <br />UNIT SQ FT : 1275 <br /> <br />Units Description Fee <br />1 Manufactttred'dbelli~g fee 24~.00 <br />I State surcharge 1.2.25 <br />1 State administrative fee 20.00 <br /> <br /> Assessed fees : 277.25 <br /> Adjustments : <br /> Total fees : 277.25 <br />PAYEE: PHILIPPI,BRETT Total pay~ents~ 277.25 <br /> Balance due . .0~ <br /> <br />TH_IS ?ER~S NON-TRANSFERABLE ~ EXPIRES 18!j DAYS ~ Ib'S~E DATE IF WORK <br /> <br />~~TZO~ FAILS TO ~T ~L :~OUZ~S ~ STATE LNaS ~ ~R~ON ~TY <br />OR INANCES. ~ WRITTEH ~GUEST~ ONE SlX MONTH E~TEHSION HAY BE ~NTED. <br />SIGNATURE OF ApPLICAHT-, <br /> <br />DONALD ~ ~O00LEY~ HARIOH COUNTY BU~LOIHG OFFICIAL / ~Y ~~~ <br /> <br /> <br />