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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> ~8~ Ohuroh Street NE · Room 133 · Sllem, Oregon e7801~870 <br />Offloe Houri: 8:00-4:30, Phone: (808) ~8B-~147 · Z4-HR Inepeotlon Line: (SO~) 373-44~ <br /> <br /> HAHUFACTURED ~WELLING PERtiIT <br />DBTE/TIHE : 96/~6/96 S7:2B PERHIT NO : 96-~3~9 <br />TYPE ~ ~ Hanufactured ~l~ng ST~T~ : ISSUED <br />O~A~Y :, R-3 ZS~ED : ~6/B6/1996 <br /> TO EXPZ~ : 12/e3/1996 <br /> P~gE 1 <br /> <br />WORK DES(': : flFG HOM~ - SP ~89 - WIHDEMERE MEADOWS <br /> <br />SITE ADDRESS : CITY: AUMSVILL.E <br /> 71~ STAFFORD ST SE AM <br /> <br />CROSS STREET <br /> <br /> NUMBER : <br /> PARCEL SIZE <br /> <br />OWNER NAME <br /> <br />APPUICAN? <br /> NAME <br /> ADDRESS <br /> <br />PHONE <br /> <br />CONTRACTOR/ <br /> AGENT <br />PHONE <br />INSTALLER <br /> ~HONE <br /> <br />MILL CREEK RD <br /> <br />56299-080 PROPERTY LOCATOR: 881W~0 <br /> 5880.8SF ZONE: I <br /> <br />SANTIAM HOMES <br /> <br />LUCAS,CRAIG <br />518 VALLEYWOOD <br />SALEM, OR <br /> <br />365-1711 <br /> <br />CARVER ENTERPRISES LLC <br />769-7744 <br /> <br />02300 <br /> <br />OCCB: 0898948 <br /> <br />MI) LICENSE. <br /> <br />UNIT SQFT : <br /> <br />Units <br /> <br />Descriptipn Fee <br />Manufacture~-dwelling fee ~'~F4~5'~.-8~ <br />State surcharge 12.25 <br />State admi~is~rative fee 20.~8 <br /> <br /> A~seseeo fees : 277.25 <br /> Adjustments : <br /> Total fees : 277.25 <br />PAYEE: LUCAS~CRAi% Torsi p~yMen~s: ~77.25 <br /> Balance ~ue : .00 <br />********************************************************************************** <br /> <br />THIS PERHIT IS NON-TRANSFERABLE AND EXPIRES 1OS D~YS FRONISSUE DATE IF gORK <br />HAS NOT COHHEHCED. DR IF COHSTRUCTIOH CEASES FOR A PERIOD OF 188 DAYS, OR IF <br />CONSTRUCTION FAILS TO NEET ALL REOUIREHENTS OF STATE LA~S AND HARION COUHTY <br />ORDII~NCES. UPON #RITTEN REOUEST, OHE SIX I~NTH EXTEHSIOH HAY BE F~RANTED. <br /> <br />SIGNATURE OF APPLICAHT: <br />********************************************************************************* <br />DONAI P E WO(1DLEY, MARION COUNTY BUILDINg OFFICIAL / BY MBULL <br /> <br /> <br />