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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 />~FPTTC PFRHIT <br /> <br />D4TF/TTHF = 81/1~/97 15=~9 PEF~IT H0 = 97-~8169 <br />TYPE = -~P STATUS = ISSUED <br />~UP~,ICY = R-3 ISSUED : ~1/16/1997 <br /> TO EXPIRE : ~1/16/1998 <br /> PAGE I <br /> <br />WORK PFRE : SP: TNHTAII <br /> <br />~ITF AI}I)RF~S : CITY: HARION COUNTY 7759 CARIFTAN JN ~F AN <br /> <br />F~IIBD [VT~TON ~ LOT." BLOCK: <br /> <br />(':ROSS RTRFFT -' ])7~ RIK D]'TTFR DR SF <br /> <br />F'AR';FI NUMRFR : <br /> PARP. FI R]'7F : <br /> <br />PROPFRTY IOCATOR: 081W28C 80901 <br /> 70NE: AR <br /> <br />OWNFR .. I.r}RF., DOIIGI.AR <br /> <br />AIITH AGFNT IORF. DOUGLAS <br />ADDRFSS [ P 0 ~OX 3t5 <br /> ~TAYTDN~ DRFGON <br />PHONF : 5~3-769-799~ <br /> <br />DFF~ INSTAIIFR : STAYTON, HIll. RITY & SII.VFRTONOFQ IICFNSE: 34916 <br /> <br />PHOflF : (58J) <br /> <br />INITIAl. SYSTEM: STANDARD <br />RFPIACFNFN'[ SY9TFH: RAND FIITFR <br /> <br />I!,nits Description Fee <br />1 DEQ Surcharge 30.00 <br /> <br />PAYFF: I ORF~ DDIIF, I AR <br /> <br />A~sessed fees : 382.00 <br />Adjustments : .00 <br />Tofa] fePs : 382.80 <br />Total paxMents: 382.00 <br />R~Jance ~ue : .00 <br /> <br />TH~S PFRHIT IS HOH-TRAN.qFERAR[£ AND EXPIRES 3&5 DAYS FROH ISSUE DATE IF #ORK H~S NOT <br />C~HHFNCFD BR TF ~RK FATI.S TO HEET ALL RFGUIREHENTS OF STATE L~JS P~ID HARIDN COUNTY <br />ORDTHAHCFS. <br /> <br /> F;IGNATI!RE OF APPI.ICANT: <br /> <br />OHNAI.O E WO[I)I F.y~ MARION Ri]lINTY F. gU'[ J)ING OFF[g'[A. / BY PHUflRO~?' <br /> / <br /> <br /> <br />