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MARION COUNTY BUILDING INSPECTION DEPARTMENT <br /> dill 5155 Silverton Rd NE <br /> Salem Oregon 97305 <br /> PO Box 14500 <br /> SALEM OR 97309-5036 <br /> PHONE#(503)588-5147 FAX#(503)588-7948 <br /> MARION . <br /> COUNTY REQUEST FOR EXAMINATION OF PUBLIC RECORDS <br /> DATE: 11/20/2023 <br /> I HEREBY REQUEST EXAMINATION OF FILES or DATA RELATED TO: <br /> Kayelie Durham <br /> (Name) <br /> 4130 Silverton Road Northeast,Salem,Oregon Parcel:577894 <br /> (Site Address) <br /> Please check one: <br /> ❑ Permit Documents V Site Plan . 'c" <br /> ❑ Inspection Documents 0 Septic Documents <br /> ❑ SPECIFIC DOCUMENTS: <br /> Certificates of Occupancy,Site Plans,Open Building Code Violations v <br /> Name: Kayelie Durham /\v <br /> Aria.i (Please Prrint) �)-- <br /> 1 Signature: PZIA GOO. <br /> Mailing Address: 1300 S Meridian Ave,Suite 400.Oklahoma City,OK 73108 <br /> Area Code/Phone#: (405)442-2614 <br /> 405-241-4562 <br /> Area Code/Fax#: <br /> An administrative fee is assessed for research based on the time invested by staff in researching the file and <br /> compiling the data. The fee is assessed at$35.00 per hour. <br /> A minimum fee of$8.75 is required with this request. <br /> ******************************************************************************************** <br /> Portions of this file are exempt from disclosure. ❑ Yes ❑ No <br /> Minimum Fee Required: $ 8.75(1/4 hour) Receipt :Y <br /> Total#Research Hours: hours @$35.00/hour= $ <br /> Balance Due: $ 0 Receipt: By: <br /> Researched By: 6Q ,fl�1./t-� Date: VS 3 <br /> Note: Fees are non-refundable. The fees cover the cost of searching for,copying and mailing the <br /> information requested. Research performed is not an approval of omissions or oversights by this office. <br /> E:\FORMS\ADMIN\A-18 Copy Request.doc MC:A-18 Rev:08/2015 <br />