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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 /> ON-SITE APPLICATION <br />BATE/TINE = OS/Z4/96 14=59 ACTIVITY NO ~ 96-B6247 <br />TYPE : SP STATUS : APPLIED <br />OCCUPANCY I R-3 SE APPLIED <br />PAGE = I SP APPLIED <br /> TO EXPIRE : 82/11797 <br /> <br />WORK DESC <br /> <br />EXIST BEDROOMS: <br />EXISI' EMPI~YF~: <br /> <br />SITE' ADDRESS <br /> <br />SS:STD W/CURTAIN DRAIN UPSLOPE <br /> <br /> PROF[SEI) ~EDRO~/MS ~ 5 <br /> PRflPOSF'D {MP[. OYI{ES:: <br /> <br />6605 HAYS L.N SE AH <br /> <br />CITY: MARION COUNTY <br /> <br />SUBDTVISION : <br /> <br />CROSS STREET : SHAW HY AT SMITH RD & BROWNELL <br /> <br />PARgEL WUMBER : 54102-088 <br /> PARCEl. SITE : ~.OAC <br /> <br />LOT: BLOCK: <br /> <br />OWNER <br /> ADDRESS <br /> <br />: FtI'ZPATRICK, DARREL& DIANA <br />: <br /> <br />PHONE ~ N/A <br /> <br />97304 <br /> <br />AUI'H AGENT <br /> ADDRESS : PO BOX 5085 <br /> <br /> SAI.EM~ OR <br /> PHONE : 581-~ 60 <br /> <br />DEQ INSTALLER : <br /> <br /> PHONE : <br /> <br />: PALMER GROSS COflSTRUCT~ON CO <br /> 973~4 <br /> <br />DEQ LICENSE: <br /> <br />Uni~.'s De~. <br /> T <br /> DFiQ Surcharge <br /> <br />Fee <br /> <br /> 30.08 <br /> <br /> Assessed fees : 382.88 <br /> Adjustments : .80 <br /> Total fees : 382.00 <br /> PAYFE: RAJ.HER GROSS CONSTRIICFION CO Total payments: 382.08 <br />********************************************************************************** <br /> THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH fl REVIEW PROCESS WHERE <br /> SOIL~ FEASAgILITY AND IMSTALLATION REGUIREMENTS ARE CHECKED PRIOR TO THE ~SSUANCE <br /> OF A PERHIT. IT IS THE RESPONSIBILITY OF THE APPL~CRHT TO ASSURE THAT ALL <br /> flECESSARY INFBR~ATION IS PROVIDED. AS SO~N/I~ ALL REGUIREHENTS OF THE REVIEM <br /> <br /> Oi')hiAiD i:. WOOI)LEY, HAR'[ON C[)UWTY BH.fLD~NG ;iFF)F)FAL / BY CLYNCH <br /> <br />................ FOR OFFICE USE ONLY. THIS IS NOT A PERMIT .................. <br /> MAP: 48R ZONE: AR PROPERTY LOCATOR: BS1Wi?C 88680 <br /> <br /> SEPTIC REVIEW: DATE: ZONING R~VIEW: DAT~I <br /> <br /> <br />