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DATE/TIME <br />TYPE <br />OCCUPANCY <br />UBB <br />SITE <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br /> MANUFACTURED DWELLING APPLICATION <br />08/26/99 15:36 <br />New Manufactured Dwel 1 lng <br />R-3 <br /> <br />: MANF REPLACEMkNT --2 BEURMS <br /> 13771 WISTERIA DR NE AR <br /> <br />MHP (Y/N) : N <br />MHP /MH SUBDIV: DEEK CREEK EST LOT: 5 <br />TAX ACCOUNT : R4675-6 MAP: 3 <br />PARCEL SIZE : .00 AC <br /> <br />OWNER <br />APPLICANT <br /> ADDRESS <br /> <br />TRELOGGIN CARISA <br />CANTRELL HOWARD I <br />B995 SW JAMIESON RD <br /> <br /> PORTLAND, OR 97225 <br />PHONE 291-9016 <br /> <br />CONTRACTOR/ <br /> AGENT <br /> PHONE <br /> <br />INSTALLER <br />PHONE <br /> <br />CANTRELL HOWARD I <br />CANTRELL HOWARD I <br />291-9016 <br /> <br />ACTIVII~F NO 99 07061 <br />STATUS APPLIED <br />APPLIED 08/26/1999 <br />TO EXPIRE 02/22/2000 <br />PAGE i <br /> <br />LOCAIOR: D41W1ZCAUD6gD <br /> CITY: MARION COUNTY <br /> <br />ZONE: AR LAND USE: <br /> <br />OCCB: 0119940 <br /> <br />MDI LICENSE: <br /> <br />UNIT SQ FT HEIGHT: <br /> <br /> Units Description Fee <br /> 1 Manufactured dwelling fee,. 205.00 <br /> 1 State surcharge 21.35 <br /> i State administrative fee 30.00 <br /> 1 Zone surcharge 30.00 <br /> <br /> Assessed fees : 386.35 <br /> Adjustments : .00 <br /> Total fees : 386,35 <br />PAYEE: CANTRELL HOWARD I Total payments: 386,35 <br /> Balance due : .00 <br /> <br />THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A SIMULTANEOUS REVIEW <br />PROCESS WHERE ZONING, SEPTIC (IF APPLICABLE) AND SITE PLAN IS CHECKED PRIOR TO <br />THE ISSUANCE OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE <br />REVIEW HAVE BEEN MET, YOU WILL BE NOTIFIED THAT YOUR PERMIT HAS BEEN ISSUED, <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> CALL BEFORE YOU DIG...IT'S THE LAW! Oregon law requires <br />you to follow the rules adopted by the Oregon Utility Notification <br />Center. (503-232-1987) <br /> <br /> Marion County Building Inspection <br /> 3150 Lancaster Dr. N.E., Suite C Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:00 Phone: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />