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MARION COUN BUILDING INSPECTION <br />COMMUNI DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 5~5147, 24-HR Ins~ction Line: (503) 373-4427 <br /> <br /> MANUFACTURED DWELLING PERMIT <br />DATE/TTME : 07/~9/76 R7:1~ PERMIT NO : ?6-84158 <br />TYPE = Ne# Memlfectured D#etIing STATUS : ISSUED <br />OCCUPANCY : R-3 ISSUED : ~7/~9/1776 <br /> TO EXPIRE : 0~/~5/I997 <br /> PAGE <br /> <br />SITE ADDRESS = tqH~ C~TY: MARION COUNTY <br /> ~ BUT'~EVTIJ,E ~1, NE ~R <br /> <br />CROSS STRFFT : , F PAll HWY I,IE <br /> <br />PARCEL NIIMSER : <br />PARCEl I' ZE : ~ ,, 6AC <br /> <br />PR['PFRTY I.OI,ATOR. 041WSOBA80S00 <br /> 70NE: EFll <br /> <br />OWNER NAME : HEIiY,FORRFST <br /> <br />APPLICANT <br />NAME : MEI;Y, FORRE~;T <br />ADDRESS : 194~'4A BII'iTEV~LLE RI) NE <br /> AURORA OR <br /> <br /> PHONE : 678-5995 <br /> <br />97082 <br /> <br />CONTRACTOR/ : [)(]CB: <br />AGENT : <br />PHONE : <br />INSTA!.LKR : MD LICENSE: <br />PHONE : <br /> <br />UNIT SQFT : <br /> <br /> A~;sess~d fees : 297.25 <br /> Ad just~,~ent s : .00 <br /> Total f r-,es : 297.25 <br />PAYEE: MEGY,FORRKST Tot~l payments: 297.25 <br /> B~lance due : <br />************************************************************************************ <br /> <br />TWIG PERMIT IS NQN-T~ANSFE~AB[E A~D EXPIRES 18~ ~AYS FROM ISSUE DATE IF WORK <br />WA~ NOT COMMEW~EB, 0~ IF COWSTROCTISW CEASES FQRA PERIOD 8F 188 DAY~. QR IF <br />CONSTRUCTION FAIt. S TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUHTY <br />ORD]:NAflCES. UPON ~ITTEH REOUEST~ ONE SIX MONTH EXTENSION MAY 9E GRAHTED. <br /> <br />SIGNATURE Oi: AF'~:'L[CANT: <br />************************************************************************************* <br />O)NAI..I) E WOODI..EY~ MARION COUNTY BIJi[L1)tN~ OFFICEAI. / BY DFREIL]~ <br /> <br /> <br />