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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 152 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00.4:30 · Phone: (503) 588-5147 · 24-HR Inspection Uns: [503) 373.4427 <br /> <br /> MAMUFACTURED DWELLING PERMIT <br />DATE/TIME : 11/21/96 11:S2 PERMIT NO 76-B8545 <br />TYPE : New Manufactured Dwelling STATUS ISSUED <br />OCCUPANCY : R-3 ISSUED 11/21/1796 <br /> TO EXPIRE S5/2a/1997 <br /> PA~E 1 <br /> <br />WORK DFRC ; RFPLAC~N(; DOUR[E WTDIE 3/BFD ~SIN~LE W~D~ 2/BED <br /> <br />SITE ADI)RESS ~ Ct'[Y: HARZON COUNTY <br /> 7542 ~SHOP R~ SF AH <br /> <br />r'ARCI:.'[ N[IH]'d:'R : 5,6294-000 <br /> PARCEl. SI]ZFT : ~ 7AC <br /> <br />OWNER NAHF' ~ F]'I.F :}6162-805 <br /> <br />APPL'[r;ANT <br /> NAHI~ <br /> ADDRESS <br /> <br />PH[INE <br /> <br />HII_t~R~LARRY & BFTTY <br />?o42 ~ISH)P kD SE <br />AUH~V] LLF <br />fir <br />749'-4.~ 4~ <br /> <br />CONTRACTOR/ <br /> Ai;FN'r <br /> PHONE <br /> <br /> PHONE <br /> <br />HN]T SQ F'I : <br /> <br />97X25 <br /> <br />PROF,'ER'IY L.OCA'IOR: 081W3~,D 0030~ <br /> .,ONE. SA <br /> <br /> O[,CB. <br />MD LICEI,ISE~ <br /> <br />[.lr~ L't:s <br /> ] <br /> <br />i)e,~c~r(' i m'~ .... Fee <br />'Fl~i'Ju'iGr-~',trx=¢ dw~] ] ~ ~g fee, ' ......................................... 2~ <br />Sta'te surcharge 12.25 <br />Stat~ ad~drds["rative fee 28~8 <br /> <br /> Ass~f, ssPd fees : 297.25 <br /> Ad jLmtr,~n~:s : .00 <br /> Tot-al fPPss : 297.25 <br />FAY~E. H'~L, LER~ .ARRY & BETTY [oral o~xmen'ts: 297.~ <br /> <br />THIS PERMIT IS ~OH-TRANBFERABLE AND EXPIRES 188 DAYS FROH ISSUE DATE IF WORK <br />HAS NOT CONflENCEO. OR IF CO~STRUCTIO~ CEASES FOR A PERIOB OF 188 DAYS, OR IF <br />CONSTRUCTION FAILS TO ~EET ALL REQUIREMENTS OF STATE LA~S AND ~RIO~ COUNTY <br />OROI~A~CES. UPO~ WRITTEN REQUEST, ONE SIX MONTH EXTENSION MAY BE GRANTEO. <br />B]C;N(([OI~I~' OF' AF'PL]CAI4T: <br /> <br />DONA[ P F' W[fflPLEY. MARION COUNTY BUII DIN(; flFFICTAL / BY PMUI,IRO~// <br /> <br /> <br />