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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 />DATE/TIHE <br />TYPE <br />OCCUP/~qCY <br /> <br /> NANUFACTURED DWELLING PERHIT <br />B2/e6/97 B9:52 PERMIT NO <br />Hew Nanufactured Dwelling STATUS <br />R-3 ISSUED <br /> TO EXPIRE <br /> PAgE <br /> <br />96-e8338 <br />ISSUED <br />~2/~6/1997 <br />eS/DS/1997 <br />1 <br /> <br />WORK DESC : NEW MD <br /> <br />SITE AI)ORESS : <br /> 1~.0~o NEAL ST SE AM <br /> <br />CITY: MARION COUNTY <br /> <br />CRC SS STREET : STATON Ri) <br /> <br />PARCEL NUMBER : 7~508-090 <br /> PARC, EL ,~IZE : ~5AC <br /> <br />PROPERTY LOCATOR: 891W19BBOS000 <br /> ZONE: AR <br /> <br />OWNER NAME : HO[LINGSWORTH, ALTA& ROBERT <br /> <br />AF PLI ,Al'Il' <br /> NAME <br /> ADDR .SS <br /> <br />PHONE <br /> <br />HOLLIN~,SWORTH. ALTA & ROBERT <br />4684 BUENA VI~'TA~''RD S <br />JEFFERSON <br />OR 97,~52 <br />~27-1~2~ <br /> <br />CONIRACTOR/ : CARVER ENTERPRISES LLC OCCB: 0098940 <br /> A(;ENI' <br /> PHONE : 769-7744 <br />INSTALL. ER : MD LICENSE: PHONE <br /> <br />UNIT SQ FT : <br /> <br />t;ni~s Oe,:~c r ipt.ion , Fee <br /> <br /> 1 State sur~:harge 12.25 <br /> 1 State ad~inis~rative fee <br /> 1 Zone s~.~rc:herge 28. <br /> <br /> Assessed fees : 2~7.25 <br /> Ad~ust~ents : .00 <br /> Total fees : 297.25 <br />PAYEE: HOLLINGSWORTH~ALTA & ROBERT Total payments: 2~7.25 <br /> Balance dLte : .00 <br /> <br />THIS PERHIT IS NON-TRANSFERABLE AND EXPIRES 180 I~YS FROH ISSUE DATE IF WORK <br />HAS HOT CONHEHCED. OR IF CONSTRUCTION CEASES FOR A PERIOD OF 18~ DW~YS, OR IF <br />COHSTRUCTIOH FAILS TO NEET ALL REGUIREHENTS OF STATE LA#5 AND HARIDN COUHTY <br />ORDINANCES. UPON ~RITTEN REGUEST, ~ SIX HDNTH EX~E~ION HAY BE GRAHTED. <br />S~GN~TURE OF APPLICANT: ......................... <br /> V <br /> <br />DONALD E ~OODLEY~ H~R~OIq COUHTY BU[L~N~ OFF~g~L / BY CLYNCH <br /> <br /> <br />