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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) 588-7904 <br /> <br />DATE/TTN~ <br />TYPF <br />rICCIIPANCY <br /> <br />WORK 1)E~C <br /> <br /> PIIJNRTN[ PFRNTT <br /> <br />: R-~ <br /> <br />: AOl)/ ~-FTX; t00~ WI; [~R~St ~t OG 9A-06639 <br /> <br />PERNIT NO : 96-B6648 <br />STATUS : ISSUED <br />ISSUED = B9/3S/1976 <br />TD EXPIRE : ~3/29/1997 <br /> <br />~[TF AIIIiRFS,~ = <br /> <br />CITY: MARION COUNTY <br /> <br />SHERMAN RD ~E AH <br /> <br />C. RIIS~ STRFFT : FAI I g HY/, . MPSON RD <br /> <br />PROPERTY I,OCATOR: 081W21 01100 <br /> 70NE: EFU <br /> <br />OWNER NAH~ : TRIIMP~MEI.BURN & NTNA <br /> <br />APPI ~CANT <br /> NAME <br /> A~RF, S <br /> <br />PHilNE <br /> <br />: I'RIIHP.NFI.BIIRSN & NTNA <br />: 63~R 9HFRHAN R~ SF <br /> AI]~SVTI,IE~r)R <br /> <br />,~ 749-~765 <br /> <br />97325 <br /> <br />C(1NTRA£TDR ~ TR[tHP~HFIBIIRSN & N~NA OCCB= <br /> PHONE : <br /> <br />PI IIHgFR <br />PHONE ; LICENSE: <br /> <br />tlrH t~:~ Des,r r ~ p~'~ on Fee <br />---T* P'(u'r,d~ 'ii nB ~T'c,e ~ <br /> 'k~ F~ w~t~r 'tine charge 2~.~ <br /> <br /> 1 State sm-nharg~ 5.08 <br /> ~ Refund .88 <br /> <br /> A~sed fees 105.00 <br /> Ad just~mnts · 08 <br /> Total fees 105.00 <br />PAYFF~" T?HP~HF!RHRSN & N~NA Tote~ p~Xne~ts: le5.80 <br /> TRIJMP.Rll TH-Af;F:NT Bal, an~e due : <br />*********************************************************************************** <br /> <br />THIS PFRHTT TS flO~TRA~FERABI.E AND EXPIRES 188 ~YS FRON ISSUE DATE IF WORK HAS <br />~T DDHHFNCFD~ 8R TF C~N~TR[IDT~8N CFA~ F~R A P~[OD ~ 18B DAYS. OR ZF ~DRK <br />FATI.~ TO NEET Al.I. REQIITREHFNTS ~ STATE I.A~S AN6 HAR[OH CO~TY ORD[NANCES. UPON <br />~RTTTFH RF~IIF~T~ ~F S~X (~) HRNTH FXTFHgTflH HAY BE GRANTED. <br /> <br />R'[(;NAT!IRF OF' APPI.*[CAHT: <br /> <br />I)HNAII) E WIll')Iii ~y~ MARTF]N I;RHNI'Y BH'i:I D[HB ~]F'FTC :A / <br /> <br /> <br />