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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 Uno: (503) 373-4427 <br /> <br /> BUILDING APID'LTCATION <br />IDATE/TIHE -- 88/85/96 1II:SS ACTIVITY NO <br />TYPE = Resident. addition/alteration STATUS = APPLIED <br />CLASS = O~elltng addition/alteration APPLIED t ~B/1~5/1996 <br />OCCUPANCY : R-3 TO EXPIRE : e2/lal/1997 <br />CONSTRUCTION : V-N PAGE <br /> <br />VALOATION : SaS, 972.16 <br />WORK OESC : Al)ON/REMODEL-EXISTING 3 BEOROOMS REMAINING 3 <br /> <br />SITE Al)DRESS : CITY: MARION COUNTY <br /> 7588 ALBUS RI) SE AM <br /> <br />CROSS S'tREE1 : S'rEINKAMP <br /> <br />PARCEL NUMBER : 56312-888 <br /> PARCEL S17E : 5,88 AC <br /> <br />OWNER NAME : <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />PHONE : <br /> <br />ETZEL,LEROY A & JANINE MARIE <br /> <br />ETZEL,LEROY A & JANINE MARIE <br />7588 ALBIJS RD SE <br />AIJMSVILI. E, <br /> 97325 <br />749-1597 <br /> <br />CONTRACTOR/ : OCCB: <br />AGENT : ETZEL,LERDY A & JANINE MARIE <br />PHONE : <br /> <br />B~JILI)ING SQFT: 1~376 STORIES: 2 HEIGHT: <br /> <br />Units Descr~p~io~ <br /> <br /> 1 State surcharge <br /> 1 Zone surcharge <br /> <br />28.88 <br />28.80 <br /> <br /> Assessed 'fees : 708.88 <br /> AdjustMents : -5.25 <br /> Total fees : 6~4.75 <br />PAYEE: ETZEL,LEROY A & JANINE MARIE To~al paxMents: 6~4.75 <br /> Balance due : <br /> <br />THIS IS NOT A PER~IT. THIS APPLICATION i~JST GO TI"I~OUGH A SII~JLTANEOUS REVIEW PROCESS <br />#HERE ZONING. SEPTIC (IF APPLICABLE) AND COHSTRUCTION PLAHS ARE C~CKEO PRIOR TO THE <br />ISSUANCE OF A PERNIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />NECESSARY INFORNATION IS PROVIDED. AS bOON AS NJ. REQUIREMENTS OF THE REVIE# HAVE <br />BEEN NET~ YOU WILL BE NOTIFIED THAT YOUR PERMIT HAS BEEN ISSUED. <br /> <br />SIGNATItRE OF APPLICANT: ...................................... <br /> <br />************************************************************************************ <br />I)[iNALD E. UQOI)LEY, MARION COUNTY BUILDING OFFICIAL / BY LIBAVIS~ <br /> _ <br />................................ FOR OFFICE USE ONLY .......... -¥J-'"'" ........ <br />SITE / <br />MAP = 4BE ZONE= EFU PROPERTY I.OCATOR: 081WZO 81388 <br /> <br />REOD SETBACKS: Front: Left: Right: Rear: Special: <br /> <br />PLAN REVIEW : DATE: ZONING REVIEW: DATE: <br /> <br /> <br />