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MARION COUNl BUILDING INSPECTION <br /> COMMUNII~ DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 * Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone; ;(503) 588-5147 · 24-HR Inspection Line: (503) 588~790~, <br /> <br />TYPE <br />OCCUPAHCY <br /> <br />11/88/95 08:51 <br />Nel Residential <br />R-3 <br /> <br />~40~8 KEeL RD NE <br /> <br />HUBSARD CUTOFF <br /> <br />40386-000 <br />DAWSON, JOI,LY <br /> <br />DAWSON. JOLLY <br />].48~8 KEIL RI) NE <br />AIJEORA OR <br /> <br />WORK DESC <br />SITE ADSRESS <br />CROSS STREET <br /> <br />PARCEL NUMBER <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />ELECTRICAL APPI. ICATIOH <br /> ACTIVITY NO : 75-1744& <br /> STATUS : APPLIED <br /> APPLIED : 11/88/1975 <br /> TO EXPIRE : ~5/~/1~9& <br /> <br />PHONE <br /> <br />CITY: MARION COUNTY <br /> <br />CONTRACTOR : VALUE MOBILE HOMES INC OCCB: ~4112 <br /> PMONE : 777-77~7 <br /> <br />ELECTRICIAN : CONTRACTOR LICENSE: <br /> PHONE <br /> <br />SIlPV ELEC : SIlPERVI~OR LICENSE: <br /> <br /> [l~i~s Descript~o~ , ...Fee <br /> i Manf dwelling service/fee~ 40.00 <br /> 1 stere surcherge ~.00 <br /> 1 Refund <br /> <br /> ¢~essed fees 42.08 <br /> AdjustMents <br /> To~al fees ,, 42.00 <br /> ~o~al payments. 42o0~ <br />PAYEE:, DAWSON.JOLLY . <br /> BslaDce ~e · <br /> <br />THIS IS NOT A PERMIT. IT IS THE RESPONSIBILITY I]F THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY IHFORHATIOH IS PROVIDED AH~rFEES PAID DEFORE A PERHIT MAY DE ISSUED. <br />S~NATU~E 0F ~PPLICANT: <br /> <br />DONAI.~ E. WOOPLEY, MARION COUNTY BUILDINqlOFFICIAL BY MBULL <br />....................................... FOR OFFICE USE ONLY ......................................... <br /> <br /> MAP: ~('INF: PROPERTY LOCATOR. <br /> PLAN REV'~EW: DATE: ZONING RI::iVIEW: DATE: <br /> <br /> <br />