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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 /> NAHUFACTURED ~iJELLIN~ PERNIT <br />II~TF./TINE = B7/BS/96 S&;45 PERNIT HO = 96-~48~3 <br />TYPE : Nme Nanufactured Duelling STATUS : ISSUED <br />OCCUPANCY : R-3 ISSU~ -- D7/eS/1996 <br /> TO EXPIRE : B1/~4/1997 <br /> PA~E 1 <br /> <br />WORK DESC : MFG HOME - SP t28 - WINDEMERE MEADOWS <br /> <br />SITE ADDRESS : CITY: AUMSVILLE 656 WINDEMERE ST SE AM <br /> <br />CROSS STREET : MILL CREEK <br /> <br />PARCEL NUMBER : 56299-00~ <br /> PARCEL SIZE : 6~50.8SF <br /> <br />OWNER NAME : SANTIAM HOMES <br /> <br />APPLICANT <br />NAME : GOMES,RICK <br />ADDRESS : 518 VALLEYWOOD DR SE <br /> SALEM, OR <br /> 97~6 <br />PHONE : 769-7744 <br /> <br />CONTRACTOR/ : CARVER ENTERPRISES I. LC OCCB: 0B98940 <br />AGENT <br />PHONE : 769-7744 <br />INSTALLER : MD LICENSE: <br />PHONE <br /> <br />UNIT SQFT : <br /> <br />PROPERTY LOCA'FOR: 081W30 <br /> ZONE: I <br /> <br />~23~0 <br /> <br />Units Description Fee <br />1 Nanu?actureu ~welll-~Q--f-~-~ .......... ~ <br />1 State surcharge 12.25 <br />1 State administrative fee 28.88 <br /> <br /> Assessed fees : 277.25 <br /> Adjustments : <br /> Total fees : 277.25 <br />PAYEE: GOMES,RICK Total payments: 277.25 <br /> Balance due : .BB <br />********************************************************************************** <br /> <br />THIS PERHIT IS NON-TRRNSFER~BLE AND EXPIRES 18~ ~AYS FRON ISSUE DATE IF WORK <br />fLqS HOT COHMENCED. OR IF C(~ISTRUCTION CEASES FOR A PERIOD OF 18B DAYS, OR IF <br />CONSTRUCTION FAILS TO NEET N.L RESUIREHENTS OF STATE LAHS RND MARION COUNTY <br />ORDINANCES. UPON tJRITTEN REQUEST, ONE SIX HONTH EXTENSION NAY BE GRANTED. <br /> <br />SIGNATURE OF APPLICANT: <br />********************************************************************************* <br />DONAL. D E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY MBULL <br /> <br /> <br />