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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: 5:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> flN,IUFACTURED DkIELL. ING PERHIT <br />DATE/TTHE ; B7/eS/96 B6:37 PERMIT NO : 96-S48S5 <br /> : Hew Manufactured D~elltng STATUS : ISSUED <br /> = R-3 ISSUED : S7/S8/1996 <br /> TO EXPIRE = g~1/S4/1997 <br /> P~GE 1 <br /> <br />WORK DESC : MFG HONE - SP t38 - W~NDEMERE MEADOWS <br /> <br />SITE ADDRESS : CITY: AUMSVILLE 925 YORK ST SE AM <br /> <br />CROSS STREET : HILL CREEK <br /> <br />PARCEL NUNBER : 56279-8S8 PROPERTY L.OCATOR: 881W30 02300 <br />PARCEL SIZE : 5580.8SF ZONE: I <br /> <br />OWHER NAME : LAMPLIGHTER HOMES <br /> <br />APPLICANT <br />NAME : GOMES~RICK <br />ADDRESS : 518 VALLEYWOOD DR SE <br /> SALEM, OR <br /> 973~6 <br />PHONE : 769-7744 <br /> <br />CONTRACTOR/ : CARVER ENTERPRISES LLC OCCB: 08?8948 <br />AGENT <br />PHONE : 76?-7744 <br />INSTALLER : MD LICENSE: <br />PHONE <br /> <br />UNIT SQ FT <br /> <br />Units DescriQtion Fee <br />] Mmnu~a--ctur~d dw~TI-ln.g'~e~ ~ <br />1 State surcharqe 12.25 <br />~ State administrative fee 28.80 <br /> <br /> Assessed fees : 277.25 <br /> AdjustMents : .88 <br /> Total fees : 277.25 <br />PAYEE: GOMES,RICK Total payments: 277.25 <br />~ Balance due : .00 <br /> <br />THIS PER#IT IS NOH-TRN~SFERP~E AH9 EXPIRES 18il DAYS FROH ISSUE DATE IF WORK <br />HAS NOT COHHEHCED. OR IF CDNSTRUCTIOH CEASES FOR A PERIOD OF 188 DAYS. OR IF <br />CONSTRUCTION FAILS TO #EET ALL REQUIRERENTS OF STATE L~JS N~D HARIOH COUHTY <br />ORDIH/~HCES. UPON #RITTEH REQUEST. OHE SIX HOHTH EXTENSION HAY BE GR~HTED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY MBULL <br /> <br /> <br />