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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 /> BUILDIN~ APPLICATION <br />DATE/TINE ~9/17/76 15:50 ACTIVITY NO 96-~7353 <br />TYPE Resident. addition/alteration STATUS APPLIED <br />CLASS Dwelling addition/alteration APPLIED ~9/17/1796 <br />OCCUPANCY R-3 TO EXPIRE 03/16/1997 <br />CONSTRUCTION : V-N PAGE 1 <br /> <br />VALUATION : $7,971.28 <br /> <br />WORK DESC : ADDING LIVING ROOM /ROOF ALREADY EXISTING <br /> <br />SITE ADDRFSS : CITY: MARION COUNTY <br /> 12068 FARGO RD NE AR <br /> <br />CI~:OSS STREW:! : BEN]S <br /> <br />PARCEt. NUMBER : 712S0-460 <br /> ~'ARCEL S~ZE : 9, 5'7 AC <br /> <br />OWNER NANE : <br /> <br />A~rFL. CAN; <br /> NAME : <br /> A;}D F~I~,S S : <br /> <br />FH ,NE : <br /> <br /> ' Fg ' ' <br />TRO,.,ER~HAROI.1D E & 101JISE S <br /> <br />TROEGER~STEVE <br />FO BOX ~t,~ <br />FALLS CITY <br />OR <br />7~?-~524 <br /> <br />97;~44 <br /> <br />COI~TRAC'T'OR/ : RAINBOW CONSTRUCTION CO INC OCCB: 0001850 <br />AGENT : 'TROEGFR~ SIEVE <br />PHONE : ,]62.-5374 <br /> <br />BUII.D[NG SQ FT: 184 STORIES: 1 HEIGHT: 12 <br /> <br /> :i..g Flar~ Review Fee <br /> ] State surcharge <br /> 1 Zone surcha~'~e <br /> <br />44.5~ <br /> <br /> 3.43 <br /> <br /> Assessed fees : 119.89 <br /> Adjustments : .00 <br /> 'Total fees : 119.89 <br />PAYEE: T~,-~R,STEVE Total paxments: 68.00 <br /> Baiance due ' 59.89 <br />************************************************************************************ <br /> <br />THIS IS NOT A PERNIT. THIS APPLICATION NUST GO THROUGH A SINULTAHEOUS REVIEW PROCESS <br />WHERE ZOHINC. SEPTIC (IF APPLICABLE) AND CONSTRUCTION PLAHS ARE CHECKED PRIOR TO THE <br />ISSUANCE OF A PERNIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />NECESSARY IHFORNATION IS PROVIDED. AS SOON AS ALL REQUIREHENTS OF THE REVIEW NAVE <br />BEEN NET~ YOU WILL BE NOTIFIED THAT YOUR PERNIT HAS BEEN ISSUED. <br /> <br />SIGNATURE OF APPLICANT: ............................................ <br /> <br />************************************************************************************ <br />D[ll4AL~ E. WOODLEY~ MARION COUNTY BUIL. DIN~ OFFICIAL / BY MBULI. <br />~.-T~~-~'--"~~,,,,,.__ ..... FOR I!~F'I:CE' USE ONLY ........................ <br />MAP : 4 ZONE: EFU PROPERTY I.OCATOR: 041WO4D 0~600 <br /> <br />F~FQD SilTBA[i:KS; Eros'it: Left: Right: ReaY~ Spec:ia!: <br /> <br />PIAN RFVTEW : DATE: ZONING REVIEW: DATE: <br /> <br /> <br />