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MARION COUNI BUILDING INSPECllON <br /> COMMIJNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · ~lem, O~egon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection LI~: (503) 373-Dt27 <br /> <br /> ON-SZI~ APPLICATION <br />DATE/TIME : ~1/27/97 12:B4 ~CTIVITY HO : 77-~511 <br />TYPE : SP STATUS : APPLIF~ <br />OCCUPANCY : R-3 ~ ~L~ED ~ ~1/27/1997 <br />PAGE : I ~ ~[~ ~ B1/27/19~ <br /> TO E~I~ : ~7/26/1~7 <br /> ............... ..................................... <br /> <br />EXIST BE~ROOHS: PROPOSED BEDROOMS : J <br />EXTST EMPLOYEE: PROPOSED EMPLOYEES: <br /> <br />SITE ADDRESS : CITY: MAEIOH COUHTY <br /> 767] WEAVER LN SE AM <br /> <br />SUbdIVISION : <br /> <br />CROSS STREET : 75TH PL SE <br /> %02. <br />PARCEL NUMBER : 7473~-1~M~ <br /> PARCEL SIZE : 2.0AC <br /> <br />LOT: 3 BLOCK: <br /> <br />OWNER : FAMILY CONTRACTING SERVICES LLC <br />ADDRESS : 25e3 SHIPMAN SE SUITE 21 <br /> SAUEH OR <br /> 773B1 <br />PHONE : ~64-6836 <br /> <br />AUTH AGENT : FAMILY CONTRACTING SERVICES LL.C <br />ADDRESS = 25Q~ SHIPMAN SE SUITE 21 <br /> SALEM OR <br /> 97301 <br />PHONE : 364-6036 <br /> <br />PF~ INSTALLER : BETHEL~DWAIN & SONS EXCAVA INC <br /> <br />PHONE : (503) 743-2343 <br /> <br />Units <br /> <br /> DEW LICENSE: 36198 <br /> <br />Description Fee <br />Construction Permit <br />DEQ Surcharge <br /> <br /> Assessed fees 7BJ. BB <br /> AdjustMents .Be <br /> Total fees 703,B0 <br />PAYEF: FAMILY CONTRACTING SERVICES LLC Total payments: .00 <br /> Balance due · 703.00 <br /> <br />THIS IS NOT A PE~HIT. THIS APPLICATION F~JST GO THRDUGH & REVIE# PROCESS ~HERE <br />o~IL, FE~ABILI~ ~9 I~T~TI~ ~IRE~MTS ~E ~ ~IOR TO THE I~U~CE <br />~ A~C~i~IT' IT IS T~ ~IBILITY ~ THE ~I~ m ~$~E ~T ~L <br /> I~TIOM IS P~I~9. A~ ~M ~S ~ ~I~HEMTS OF T~ REVIE~ <br />HAVE ~ ~T~ ~ ~I~ ~ ~TIFIEB. <br /> <br />SIGNATURE OF APPLICANT: ~ ~ ~ <br />DONAL~ E. WOO~LEY~ MARION COUNTY BUILDING OFFICIAL / BY LIDAVIS <br /> <br /> PROP~TY L~TOR: ~2W2~ B1~8 <br /> <br />SEPTIC REVIEW: DATE: ZOMIN~ ~VIEW: ~TE: <br /> <br /> <br />