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12014333
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12014333
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Last modified
1/19/2024 3:27:37 PM
Creation date
1/18/2024 11:12:29 AM
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Permits
Permit Address
4929 RED ROCK LN S
Permit City
Salem
Permit Number
555-23-010413-PRMT
Parcel Number
083W08C 04501
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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MARION COI)NTY BUILDING INSPECTION <br /> IMO COMMUNITY DEVELOPMENT CENTER <br /> 1 <br /> 285 Church Street Ng • ROOM 132 • Salem,Oregon 97301-3670 <br /> Office Hours:8:00440 ',Phase':(503)588-5147 - 24-HR Inspection Line:(503)588-7904 <br /> DATE/TIME ; 11/�17/95 15:56 �tN SITE APPLICATION <br /> TYPE ACTIVITY NO : 439 <br /> OCCUPANCY : R-3 ; ; STATUSAPPLIED <br /> • APPLIED : 05/00/8896 <br /> TO EXPIRE : W5/ k5/19'76 <br /> PAGE - 1 <br /> WORK DESC : SE:PART 95-18 PARCEL 2 OF 3-:E : - <br /> t XIST BEDROOMS: PROPOSED BEDROOMS : 3.•EXIST EMPLOYEE; PROPOSED EMPLOYEES: <br /> 37'1'E ADDRESS x <br /> 282S KUEBLER. RD S SL: <br /> • CITY: MARION COUNTY' <br /> SUBDIVISION : ''i <br /> LOT: )"LOCK: <br /> CROSS STREET : <br /> VIEWC:i2ES7 <br /> PARCEL NUMBER : MC - <br /> PARCEL-SIZE : 2.0 AC • ;' • <br /> _ _OWNER <br /> NAME : HER7_ENICH ED ;!. <br /> .. ADDRESS : 3794 AUGUSTA NAT'L DR S : ; <br /> SALEM OR <br /> •PHONE : ,585-�7447 9704• . <br /> APPLICANT . 1,1 <br /> • NAME . : SCHMALTZ KEN. <br /> ADDRESS : -PO BOX 5241 • • • i ::' • <br /> SALEM OR 97.304 ii <br /> PHONE : 588-1115 <br /> + <br /> /DEG CONTRACTOR: <br /> R SCHMALTZ KEN - . .' : .` ,.: DED LICENSE: <br /> PHONE SCHMALTZ KEN <br /> 588-1115 . •• .j . '1 ClCC>3: 71161 <br /> Units Doscr.i ti© <br /> 1 e eve lt9 ton Fed+ <br /> DEO Surcharge f :; 24i.Sa <br /> • <br /> • <br /> • • seassp0 fees : <br /> 27 7. <br /> 5 <br /> 0• ' ,Adjustments io a fees : 277.50 <br /> , . cIta1 payments: ..80rAY :• JCf7A, KEN- Balan'te <br /> 277.T*TyF**Vy*y***Ry**y******* * *****y* ?*** *y********4*************TMyKT ** <br /> Z <br /> : k7W <br /> g 1 <br /> THIS IS ,$)T A PERMIT. THIS <br /> SISAPLNTZO T.GO REVIEW PROCESS WHERE <br /> SaI , FEAS E Z APLI � SE THTHAssCANCEOF A PERMIT. IT IS THE -RESPO S BILITy a HE APPLICANT ASSURE <br /> NE BEEN MET,CESSARY IN ORHATIOH IS-PROVI, is %AS 5 RECUIRE1cE OF THE REVIEW <br /> You wrLL.,. , : . Fin: <br /> SIGNATURE' OF APPLICANT: <br /> *:k******>Ic;K****Xc***fcAcAc***711 "."' V I TUV*cIc*C*CIi*Ingc************* * <br /> DONALD E. WOODLEY4 MARION :►N rY BUILD/ ; 0EF I / BY TNEAL *** <br /> -------FOR OFF <br /> ICE .,. <br /> CAP: 54 �O�I ONLY. THIS i I NO A PERMIT <br /> PROPERTY LOCATOR: <br /> SEPTIC REVIEW: DATE: <br /> ZflHI#O REVIEW: DATE: <br />
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