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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) 373-4427 <br /> <br />DATE/TIHE <br />TYPE <br />OCCUPAHCY <br /> <br /> HANUFACTURED DWELLING PERHIT <br />04/22/96 16=04 PERHIT NO <br />Hew Hanufactured DwelZing STATUS <br />R-3 ISSUED <br /> TO EXPIRE <br /> PAGE <br /> <br />96-02183 <br />ISSUED <br />04/22/1996 <br />10/19/1996 <br />1 <br /> <br />WORK DESC <br /> <br />: NMFG 3 BEDRMS <br /> <br />SITE ADDRESS : <br /> <br />CITY: MARION COUNTY <br /> <br />13620 WISTERIA DR NE AR <br /> <br />CROSS STREET : BOONS FERRY RD <br /> <br />PARCEL NUMBER : 71010-830 <br /> PARCEL SIZE : 10000.0SF <br /> <br />PROPERTY LOCATOR: 041WllBC00200 <br /> ZONE: AR <br /> <br />OWNER NAME : SPRINGER, JOHN <br /> <br />APPLICANT <br /> NAHE <br /> ADDRESS <br /> <br />: ROEHM JOHN A <br />: ]7277 S FERNWDOD <br /> <br /> MOLALLA, OR <br />PHONE : 829-4871 <br /> <br />97038 <br /> <br />CONTRACTOR/ : ROEHH JOHN A <br /> AGENT : <br />PHONE : 829-4871 <br />INSTALLER : ROEHM JOHN ALLEN <br />PHONE : 829-4871 <br /> <br /> OCCB: 0096335 <br />MD LICENSE: 405MDI <br /> <br />UNIT SQFT : <br /> <br />Units Description <br />1 Manufactured dweI'lih'g'fee 245.0~ <br />'1 State surcharge 12.25 <br />1 State administrative fee 20.00 <br />! Zone surcharge 20.80 <br /> <br />Fee <br /> <br /> Assessed fees : 297.25 <br /> Adjustments : .00 <br /> Total fees : 297.25 <br />PAYEE: ROEHM JOHN A Total paxments: 297.25 <br /> Balance due : .00 <br /> <br />THIS PERHIT IS NON-TRANSFERABLE AND EXPIRES 1R I)~YS FROH ISSUE D~TE IF #ORK <br />}lAS NOT COHHENCED. OR IF CONSTRL~TION CEASES FOR A PERIOD OF 18~DAYS. OR .IF <br />CONSTRUCTION FAIL~ TO MEET ALL REQUIREMENT~ OF ~TATE'~A#8 AND MARION COUNTY <br />ORDINANCES, UPON WRITTEN REOUEGT, ONE SIX flGNTH EXTENEION HAY BE GRANTED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY MBULL <br /> <br /> <br />