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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 Line: (503) 588-7904 <br /> <br /> OH-SITE APPLICATIOH <br /> 'THE : B?/2~/D& 16:10 ACTIVITY H10 -' 96-BLS45 <br />TYPE '. SP STATUS = APPLIED <br />OCCUPANCY = R-3 APPLIED ; ~2/2g/1996 <br /> TO EXPIRE .- 118/18/!996 <br /> PN;E ! <br /> <br />WORK ilFS[: .- AUTH/F[ il AI)ll:PUHP TANK <br /> <br />EXIST ~EOROOMSq 2 PROPOSF~O BE1)ROOMS-- ~ <br />FX~ST FMPI OYFF.- PRBPOSFD FMPI OYFFS: <br />fil~ I'E .'.IO;)RE.SS : CITY: MARION 'COUNTY <br /> 9443 (;01. F" C..[LIR Ril SF AM <br /> <br />SUSI)IVI.~;ION : LOT: B/.OCK: <br /> <br />CROSS STRFF1 : SHAFF Ril <br /> <br />PARCEl. NiJMBKR ~ 484~2-88~ <br /> PARCFI ST7F : 2.~ AC <br /> <br />OWNER <br /> NAMF <br /> <br />~' IlFNNY, KFV]N <br />: 946.~ C, OI.F CI.IJB RI) <br /> AI.IHSV~I. I F ORFGON <br /> <br />PNONF : 5~3.-769.-9663 <br /> <br />97525 <br /> <br />APPI,ICANT <br /> <br />: IlFNNY. KFV;N <br />: 946~ 601.F Ci.IJB R~ SE <br /> AIIMSVTIIF ORFgON <br /> <br />F'HONF .' 503.-769-9~63 <br /> <br />97325 <br /> <br />1)EQ CONI'RACTOR: lO .NNY~ KEVl:N <br /> / A[;FN'I = IlFNNY, KFV:TN <br /> PHONE : <br /> <br />DEQ LICENSE: <br /> OCCB: <br /> <br />As. ses.qed fees : <br />Ad jUS;:M=~.nts : <br />Tr, t e.1 fees : <br /> <br />Fee <br /> <br />PAYER: I)ENNY, KEVT. N Total oay. Ments: <br /> <br />THIS' TS NOT A PERHIT. THIS APPLICATION HUST GO THROUGH A REVIEW PROCESS WHERE <br />.~O'(I., FEASAB1[LiTY AND iNSTALl AT[ON REOU'[REHENTS ARE CHECKED PRIOR TO THE ISSUANCE <br />OF A PERHIT. TT :TS THFRF. SP~i, iSI]~:[LITY 0F.~THE 'APPLICANT TO ASSURE THAT ALL <br />HECE.~SARY iNFORMATION IS PROVIED. AS b-'POI~ AS ALL REOUIREHENTS OF THE REVIEW <br /> <br />.S~fiFIATIJR[ OF APPi.T. CAMT: <br /> <br />I)ONAIJ) F.. WOOOI.EY~ MAR[ON COONTY 81IT. LI)I:Nr; OFFICI:AL / BY CLYMCN <br /> <br /> FOR OFFICE USE OHtl Y. THIS IS HOT A PERi'lIT ......... <br />HN~: 68R ZrlHE: UTF PROPERTY LOCATOR: llDZWii4B ~2188 <br />SEPTIC RFVIFW: IlATF: ZLINIH~ REVIEW: DATE: <br /> <br /> <br />