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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 /> HANUFACTUREB SHELLING APPLICATION <br />BATE/TIME : S9/S3/9& 13:38 ACTIVITY NO : 96-~6831 <br />TYPE c He# Manufactured O#elling STATUS : APPLIED <br /> <br /> TO EXPIRE = 63/62/[997 <br /> P~I~E ! <br /> <br />WORK DESC : NEW HH REPLACIN6 197].' HOME <br /> <br />Sill IE At)DRESS <br /> 21845 BOONES FERRY RD NE AR <br /> <br />CROSS S'TRFET : EHLEN Ri) <br /> <br />PAF'CEL NLIHBER : 40[(8S-000 LAND USE: <br />PARCEL SIZE : 1 <br /> <br />HAMMOND, REBECCA ,J <br /> <br />~TREI,KER g. REG <br />21845 EOONES FERRY <br /> <br />LWNER J'IAMIi' : <br /> <br />APPI..ICANT <br /> NAME <br /> ADDRESS <br /> <br /> AURORA: OR 97002 <br />PHONE : 678-2651 <br /> <br />CONTRA£1OR/ : S~RECKER GRE{; <br />AfiENT : STRECKER GREG <br />PHONE : 678-26~ 1 <br /> <br />CtfY: MARION COUNTY <br /> <br />INSTALLER : HD LICENSE, <br />PHONE : <br /> <br />UNI'r SQ FT <br /> <br />Urdts Descrip[ion Fee <br /> <br /> 1 State surcharge <br /> i State ade~i, nistrative fee <br /> 1 Zone surcharge "~0.~' <br /> <br /> Assessed fees : 297,25 <br /> Ad just~m'rOs : ,08 <br /> Total fees : 297,25 <br /> PAYEE: ..]RECKER GRE[; Total payments: ~00 <br /> <br /> THIS IS HOT A PERHIT. THIS APPLICATION flUST GO THROUGH A SIHULTANEOUS REVIEW <br /> ~OCESS ~HERE ZOH[~. S~TJC ([F ~PPL[C~BLE) AND S[TE PLAN IS C~CKEO PRIOR <br /> THE ISSUANCE OF A PERH[T. [T IS THE RESPOHS[BJL[TY OF THE APPL[C~HT TO aSSURE <br /> THAT ALL NECESSARY ]NFORHAT[OH [S PROV[OED. AS ~ON AS ~L REOU[REflEHTS OF THE <br /> REV]EM HAVE 9EEN ~T~ YOU ~[LL ~E NOT[FlED THAT YOUR PERMIT HAS BEEN [SSUEO. <br /> <br /> S'I~NA'IURE OF APP[.ICANJ': <br /> <br /> ****************************************************************************************** <br /> BONA[D ~ WOODLEY~ MARION COUN]Y BIFI'LD]N{; OFFICIAL / BY D~RE~L, IN <br /> <br />............................................................ FOR OFFICE USE ONLY <br /> S]TF / <br /> MAP: S ZONE: AR F'RHPFRTY LOCATOR: 041WtZCA~L~[~g <br /> <br /> REQh SE'T~ACkS: on't: Left: R'~,jht:: Rear: S,p~x ~a]: <br /> PI,AN R~V~'FW : i)Al(': Z(INJ:Ng !;'EV.[EW: <br /> <br /> <br />