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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 />~TE~I~ <br />TYPE <br />~CUPANCY <br /> <br /> HANUFAC~ l~l~Ll. Zl~ Fi:RtIZT <br />: 1~5/2~/9& 13115 PERMIT NO i 9&-~3~2i. <br /> R-~ Manufactured l)~elling STITUS ~5~/1996 <br /> ,,TO EXl~IRE I 11/16/1996 <br /> P/I~.E I <br /> <br />WORK DFSC <br /> <br />SITE ADDRESS <br /> <br />NMFG/WTNDEMERE MFADOWS SPt41 <br /> <br /> YORK ST SE AM <br /> <br />CITY: AUMSVILLE <br /> <br />CROSS STREET = MII.I.CREEK <br /> <br />PARCEL. HUMRFR = 56?99-BBB <br /> PARCEl,. SIZE : 6~gB. RSF <br /> <br />OWNFR NAMF : PALM HARROR HOMES <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />RICK GOMFS <br />518 VALLEYWOOD DR SE <br />SALEM, OR <br /> <br />PHONF = 7&9-7744 <br /> <br />CONTRACTOR/ <br /> AGFNI' <br />PHONE <br />INSTAtL. FR <br /> PHONE <br /> <br />= CARVER ENTERPRISES I.l.C. <br /> <br />·- 7~9-7744 <br /> <br />UNIT <br /> <br />PROPERTY LOCATOR: B81W3B B2300 <br /> ZONE= RM <br /> <br />973~2 <br /> <br /> OCCB= 0898?40 <br />MD:LICENSE: <br /> <br />IJnits Description Fee <br />1 Manufactured dwelling fee 2~'~0~ <br />1 State surcharge 12.25 <br />I State administrative fee 20.0~ <br /> <br /> Assessed fees : 277.25 <br /> Adjustments : .Be <br /> Total fees :. 277.25 <br />PAYEE= RICK GOMFS Totalpaxments= 277.25 <br /> Balance-'due . .~ <br /> <br /> THIS PERNIT IS NGN-TRAHSFERABLE ~ID EXPIRES 18~ B~IYS FROH ISSUE D~tTE IF I~ORK <br /> H/iS HOT COitNEli(I~'~° DR IF COHSllitJCTIDR CE~ FOR &i PER']:~ OF 11)~ I)~YS. _.OR IF <br /> COHSTRUCTIOH F~II.S TO NEET <br />(IRJ)IHANCES. ~ ItRITTEN REGUEST, ~ SIX NONTH EXTEI~IOR H/~Y BE ~ED. <br /> <br />SIGNATURE OF APPLICANT= <br /> <br />DONAI.D E WOODLEY, MARION COUNTY BIJI!..DIHG OFFICIAl.. / BY DFREILI~I~--~ <br /> <br /> <br />