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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 9~ Ohumh 8tmet NE · Room 18Z · 8Mem, Oregon e7~014870 <br />Offloo Houm: 8:00-4:~0 · Phone: (10,1) 888-8147 · ~4-HR InelmOtlon Line: ($0~) ~7~4427 <br /> <br />VALUATION' <br /> <br />WORK DESC <br /> <br />SITE ADDRFSS <br /> <br />: DEMO OF RES - TO BE REPLACED BY MFG HOME <br /> <br />: <br /> 11555 MCCLELLAN LN SE AM <br /> <br />CITY: MARION COUNTY <br /> <br />CROSS STREET : MCCLELLAN RD <br />PARCEL NUMBER : 75440-09~ <br /> <br />PARCEL SIZE <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />PHONE <br /> <br />. OAC <br /> <br />: DENT-MONTGOMERY,SHEILA <br /> <br />DENT- MONTGOMERY.SHEILA <br />264 LANCASER DR SE <br />SALEM, OREGON <br /> 9738] <br /> <br />CONTRACTOR/ : <br /> AGENT : DENT- <br /> PHONE : <br /> <br />BIJILDING SQ FT: 816 <br /> <br />MONTGOHERY, SHEILA <br /> <br />OCCB: <br /> <br />STORIES: HEIGHT: <br /> <br />Uni~B Description Fee <br />........ DemolitiOn fee 32~58 <br /> 1 State surcharge 1.63 <br /> 1 Zone surcharge 1.63 <br /> <br /> Assessed fees : 35.76 <br /> Adjustments : .Be <br /> Total fees : 35.76 <br />PAYEE: DENT- MONTGOMERY, SHEILA Total paxments: 35.76 <br /> Balance due : <br /> <br />SIGNATURE OF APPLICAHT: <br /> <br />DONAlP E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY MBULL <br /> <br /> <br />