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355231
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Last modified
10/2/2021 10:34:01 AM
Creation date
3/20/2018 8:32:26 AM
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Assessor
Account Number
355231
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
3/8/2018
MTL
073W14BC04301
Assessor Section
Manufactured Structures
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L01 R322998 El 35 5?-:b1, #96 <br /> CITY E :F... a41°.\--d" " <br /> • <br /> Building and Safety • AT YOUR SERVICE City Hall <br /> PAC:(503)588-6256 555 Liberty St SE <br /> Inspections:(503)588-6256 Room 320 <br /> Fax: (503)588-6115 Salem, OR 97301-3503 <br /> NEW PHASE CONSTRUCTION Building Seq#: 18-103307-BP <br /> 841 CUMMINGS LN Date Issued: February 21,2018 <br /> KEIZER OR 97303 <br /> Property Address: 2637 MAPLE AV NE <br /> Legal Description: Tax Lot#: 073W14BC04301 Twn: 7 Rng: 3 Sec: 14 <br /> Description of Work: Manufactured Dwelling-New-ADU-NEW 12X32 MANUFACTURED HOME <br /> Info: <br /> 1st Review Estimated Turn Time:RES 10 Contractors'Construction Board#:197220 Plan Type Review:PAPER <br /> Is this"over the counter":No Edition of Oregon Specialty Code?:OMDISC 2010 In City Limits?:Yes <br /> Edition <br /> In Floodplain?:No Slope:1 Landslide Hazard?:0 <br /> In USA?:Yes In UGB?:Yes • In Wetlands?:No <br /> Urban Renewal Area:None Photo Copies:12 Inside Park/Outside Park MFH:Outside Park <br /> Owner: Contractor: <br /> YVONNE WOOD NEW PHASE CONSTRUCTION <br /> 2635 MAPLE AV NE 841 CUMMINGS LN <br /> SALEM OR 97301-5001 KEIZER OR 97303 <br /> Work:(503)949-2583 <br /> Contact: Applicant: <br /> RACHEL BLAKE - NEW PHASE CONSTRUCTION <br /> 841 CUMMINGS LN N 841 CUMMINGS LN <br /> KEIZER OR 97303 KEIZER OR 97303 <br /> Work:(503)949-2583 Work:(503)949-2583 <br /> • <br /> I,the undersigned,certify the information provided above is correct and true. I agree to complete the installations in <br /> compliance with all state and local laws,codes,rules,regulations,approved plans and specifications,and to call this <br /> office one working day in advance for all required inspections. <br /> • <br /> Signature: Date: <br /> This permit expires if work or construction authorized is not commenced with 180 days,or if construction or <br /> work is suspended or abandoned for a period of 180 days at any time after work has commenced. <br /> Form:Building Permit(bldg) 2/26/2018 Issued by:Mareva Massey <br />
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