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MARION COUNTY BUILDING INSPECTION <br /> COMMUNI'FY 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) 373-4427 <br /> <br />PLIJII~I I,If, /IPPI. I C/ITIOll <br /> <br />SZTE ADDRFSS : 11637 FALCON CT NE AR <br /> <br />CROSS STREET : EHI.EN TO WARBLER LN NE <br /> <br />PARCEL NUHRFR : 7~551-371 <br />OWNER NAME : LAGASSE, ROSEB <br /> <br />APPLICANT <br />NAME : GREEN, JOE <br />ADDRESS : P 0 BOX 759 <br /> PORTLAND, OREGON <br />PHONE : 5g3-685-9~05 <br /> <br />P[IIMBER <br /> PHONE <br /> <br />97?07 <br /> <br />CITY: MARION COUNTY <br /> <br />CONTRACTOR : JOE GREEN INVESTMENT CO <br /> PHflNE : 685-9485 OCCB: 0B57652 <br /> <br /> LICENSE: <br /> Units Description Fee <br /> ~eO Feet water line charge <br /> I~B Feet sewer line charge <br /> 1 State surcharge 2.5e <br /> 1 Refund <br /> <br /> Assessed fees 52.5B <br /> Total fees 52.5B <br />PAYEE: GREEN, JOE To~al paXMents: 52.5B <br />******************************--****** : .BB <br /> <br />THIS IS NOT A PER~IT. IT IS/I~IE RE~iPOI~BILITY OF THE APPLICANT TO i~SSURE <br />TH~T~E ISIJED.~LL NECESg~RY INFOR~I~_pAzI__~ BEFORE A PERflTT MAY <br />SIGNATURE OF' APPLICANT= ............... <br /> <br />DONAI D F. W(1ODLEY, MARION COUNTY BUILDING OFFICIAL / BY CLYHCH <br />................................. FOR OFFICE USE ONLY ...................... <br /> <br /> MAP,". ZONE: RS PROPFRTY LOCATOR: B31W33CBBB4BO <br /> <br /> PLAN REVIEW: DATE: ZONING REVIEW," ~)ATE: <br /> <br /> <br />