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MARION COUNTY BUlLDING INSPECTION <br /> <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 />DATE/TIHE <br />TYPE <br />CLASS <br />OCCUPANCY <br />CONSTRIICTION <br /> <br /> BUILDING APPL[CATI[ON <br />88/88/76 10:5~ <br />Resident. addition/alteration <br />Residential garage/carport <br />U-1 <br />V-N <br /> <br />,~jIVITY HO : 96-~6B39 <br /> TUS : APPLIED <br /> LIED : ~8/B8/1996 <br /> TO EXPIRE : ~2/~4/1997 <br /> PAGE 1 <br /> <br />VAI IIATTON <br /> <br />WORK DE.~C : <br /> <br />.g. IE ADI)RI-SS : <br /> <br />CR(ISS STRFFT <br /> <br />PARCEL. NHHBER <br />PARCEL Si[ZF <br /> <br />OWNER HAME <br /> <br />APP[ TCANT <br /> HAME <br /> ADI)RE SS <br /> <br /> PHONE : <br /> <br />C(INTRACIOR/ : <br /> AF, ENT : <br /> PHIiNF : <br /> <br />BIL[I,,1)TNG SQ FT: <br />Units <br /> <br />5745 BAS'IL, ST NE SL <br /> <br />HAMPDEN LN <br /> <br />82~190-180 <br /> 1.3,. AC <br /> <br />HARROLI)~ ,E)RGE E <br /> <br />HARROLD.F;EORGE E <br />5'745 BASIL ST NE <br />~::AI.EM ~ r)R <br /> <br />3~4-7704 <br /> <br />HARROi. O, tlEORGE E <br /> <br />CITY: MARION COUNTY <br /> <br />OCCB: <br /> <br /> ~12 1 HEIGHT: <br />I)escri~tion Fee <br /> <br /> P]en 36.73 <br /> State surch~r 2~83 <br /> 7onP ~urchar 2.83 <br /> <br /> Adjustments <br /> Total f~es 98.89 <br />PAYFE: HARRO[~, E Total pey~ents: 78.87 <br /> Balance due : .~0 <br /> <br />THIS IS NOT THIS APPLICATION HUST GO THROUGH A SIHULTA~EOUS REVIEW PROCESS <br />WHERE SEPTIC (IF APPLICABLE) AHB CONSTRUCTION PLAHS ARE CHECKED PRIOR TO THE <br />ISSUAHCE ~ PERHIT. IT IS THE RESPOHSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />HECESSARY IS PROVIDED. AS SOON AS ALL REGUZREHEHTS OF THE REVIEW HAVE <br />BEEN HET WILL BE NOTIFIED THAT YOUR PERHIT HAS BEEN ISSUED. <br /> <br />SIGNATUI [iF APPLTCANT: ............................................... <br /> <br /> F~ WOODLEY~ MARION COUNTY BLI;LPTN~ OFFICIAL / BY DFREILIN <br /> <br />.......................................... FOR OFFXCE LJSF ONLY ................................ <br />STTE / UGB: <br />HAP ~ 4[ ZONE: AR ):IRf)PEf~'[Y tOCAFOR: 072W28000210~ <br /> <br />RKQp SF'fRACKS: F¥orr?: q e'['?~ RJ!:)ht: Rear': Spec:J. al: <br /> <br />PLAN R~:ZYf~[W : DAFE: ZUN[I,IG REVIEW: DATE: <br /> <br /> <br />