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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) 373-4427 <br /> <br /> NECNAHICAL PERNIT <br />DATE/TINE : 08/B?/96 le=$~ PERMIT Iff] = 96-~5867 <br />TYPE : Resident. addition/alteration STATUS : ISSUED <br />OCCUPANCY : R-3 I~UED : 88/82/1796 <br />PAgE = ! TO EXPIRE = B1/29/1797 <br /> <br />WORK 0~ ....... ~-~=~-~Z~=T~-~:~T~ ....................... <br />~lE ADDRFSS : CITY: MARION COUNTY <br /> <br />CROSS STRFFT : <br /> <br />PARCE NUMBER : <br /> <br /> 23.531 BUTTE I.N HE AR <br />BLITTFV~L [ E RI) <br />78:~78-06 ~. <br /> <br />OWNER NAME : BRYSON,PAM <br /> <br />LOLATOR. 031W~2CC02300 <br /> 70NE: AR <br /> <br />APPI TCANI' <br />NAME : SAMPLE, BOtJG <br />ADI)RFSS : :1~34~ S H]'LLTOP <br /> OREGON CITY,OR <br /> 97045 <br />PHDNE : 503-657-3348 <br /> <br />CONTRAP. TOR : A t~MP HFATIN(; & COOt ING INC OCCB: 8871878 <br /> PHONE : 658-5814 <br /> <br /> lln~ tm ;)~'L*~ on Fee <br /> ...... 1 <br /> I Forced ~r~ 10~,0~0 BTU & less <br /> t Air conditioners, under 3 tons <br /> ; Domestic fan~/veuts <br /> 1 Wood stov~s/firep lac~s <br /> <br /> 1 State surcharge <br /> R~fund <br /> <br />6.50 <br />6.00 <br />7.50 <br />2.00 <br />1.90 <br /> .00 <br /> <br /> Assessed fees : 39.90 <br /> Adjustments : .00 <br /> 'Total fees : 39.90 <br />PAYFE: SANPIF~D(IttG Total paxments: 39.90 <br /> Balance ~ue : .00 <br /> <br />THIS PERNIT IS NON-TRANSFERABLE AHD EXPIRES 188 DAYS FRON ISSUE DATE IF WORK HAS <br />NOT COHflENCFD, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 188 DAYS. OR IF WORK <br />FAILS TO MEET ALL REOUIRENEHTS OF STATE LANS AND MARIOM COUNTY ORDINAHCES. UPON <br />NR[TTFN RFOtlFST, ONF SIX (~) MOHTH EXTENSION HAY BE GRANTED. <br /> <br />9ISNAYURE OF APPLICANT: <br /> <br />I)[)NAIO E WOODL. EY, MAR'[fIN COIINTY BO~LDING OFFTCTAI / BY DSrONE ~ ][__~ <br /> <br /> <br />