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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY 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 Une: (503) 588-7904 <br /> <br /> HECHAHICAL PERHIT <br />DATE/TINE : 02/27/96 15~42 PERHIT NO : 96-01196 <br />TYPE : Resident. addition/alteration STATUS : ISSUED <br />OCCUPAHCY = R-3 ISSUED : 02/-27/1776 <br />PAGE = t TO EXPIRE : 08/25/1976 <br /> <br />WORK ~ ......... ~-~N~T ....................... ~ ........................................... <br /> <br />SIIF A~QRFSS : , CITY: MARION COIJNI'Y <br /> 1.~2:~6 MATTH'[Fll I.,N NE AR <br /> <br /> S1RFF I <br />CROSS"" '* , <br /> <br />P,tRL,.J. NUMBER <br /> <br />OWNER 'NAME <br /> <br />APPtICAN'I* <br /> NAME <br /> APDRFSS <br /> <br />: AN1)ERSON~I'IM A ~ KAREN A <br /> <br />: ANI)ERSON. TIM A & KAREN A <br />:' ~0236 NATI'H~EU LANF NE <br /> AURORA~ OR <br /> <br />LilCAI'OR: 041W07 01100 <br /> 70NE: EFU <br /> <br /> PHONE : 678-2990 <br /> <br />CONTRACTOR ;~ I:UPFHANS INC OCCB: 0851469 <br /> PHONE : 646-64~9 <br /> Units ~escr ~ pti on Fee <br /> ..... !-,..~. .... Ba-~. ~ ........................................ ~-~ <br /> ] Wood stove, s/f] rep] ~ces 7.58 <br /> 1 S'ta ~e surch.~rge ,88 <br /> ] Ri-fund .88 <br /> <br /> Assess:?d fees : ~8.38 <br /> Adjustments : .00 <br /> total fees : 18.38 <br />PAYI~F: ANDFR9ON,TIM A & KARFN A l'ot~]. Paxments: 18.38 <br /> Balanc~ ~ue - .00 <br /> <br />THIs PERNIT IS NON-TRAHSFERABLE AND EXPIRES 18~ DAYS FROH ISSUE DATE IF WORK HAS <br />NOT COHHENC-ED, OR IF CONSTRUCTION CEASES FOR A PERIOD DF 188 DAYS,*OR IF WORK <br />FA[LS TO NET ALL REQU;REHENT~ DF STATE LAWS AND HARION COUNTY ORDIHANCES. UPON <br />#RTTTFN REOUk:ST, ONE STX (6) MONTH EXTFNSZON HAY BE GRANIED. <br /> <br />SIGNATURE OF APPLICANI': <br /> <br />~ONAI.O E WOOQ!..EY~ MAR[ON COUNTY BlJlI.,OINfi OFFICIAl... / BY HBULL <br /> <br /> <br />