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MANUFACTURED DWELLING PERMIT <br />DATE/TIME : 03/24/99 10:29 PERMIT NO <br />TYPE : New Manufactured Dwelling STATUS <br />UGB: SITE: ISSUED <br /> TO EXPIRE <br /> PAGE <br /> <br />99-01744 <br />ISSUED <br />02/24/1999 <br />09/20/1999 <br />1 <br /> <br />W~]RK UESC : RES MANF REPLACEMENT <br /> <br />SITE ADDRESS <br /> <br />12737 DONALD LOOP RD NE AR <br /> <br />MHP (Y/N) N <br />MHP/ MH SUBDIV: <br /> <br />LOT: <br /> <br />LOCATOR: 041W22B 01000 <br /> CITY: MARION COUNTY <br /> <br />TAX ACCOUNT : 40929-000 <br /> PARCEL SIZE : .3AC MAP: 5 ZONE: EFU LAND USE: <br /> <br />OWNER <br />APPLICANT <br /> ADDRESS <br /> <br />PHONE <br /> <br />LOPEZ,OOE A & CYNTHIA K <br />LOPEZ,$OE & CYNTHIA <br />12737 DONALD LP RD <br />AURORA OR <br />97002 <br />503 678-5190 <br /> <br />CONTRACTOR/ <br /> AGENT <br /> PHONE <br /> <br />OCCB: <br /> <br /> LOPEZ,JOE & CYNTHIA <br /> <br />INSTALLER MD LICENSE: <br />PHONE <br /> <br />UNIT SQ FT HEIGHT: <br /> <br /> Units Description Fee <br /> 1 Manufactured dwelling fee 205,00 <br /> 1 State surcharge 15,25 <br /> 1 State administrative fee 30,00 <br /> 1 Zone surcharge 30.00 <br /> <br /> Assessed fees 380.25 <br /> Adjustments .00 <br /> Total fees 380.25 <br />PAYEE: LOPEZ,JOE & CYNTHIA Total payments 380.25 <br /> Balance due .00 <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUE DATE IF WORK <br />HAS NOT COMMENCED. OR IF CONSTRUCTION CBASES FOR A PERIOD OF 180 DAYS. OR IF <br />CONSTRUCTION FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY <br />ORDINANCES, UPON WRI1-FEN REQUEST. ONE SIX MONTH EXTENSION MAY BE GRANTED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E. WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY MBULL <br /> <br /> Marion County Building Inspection <br /> 3150 Lancaster Dr. N.E., Suite C Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />