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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 /> HECHANICAL APPLICATIOH <br />)ATE/TIHE : 03/14/77 14=32 ACTIVITY NO ?7-01719 <br />TYPE : Resident. addition/alteration STATUS APPLIED <br />OCCUPAHCY : R-3 APPLIED 03/14/1797 <br /> TO EXPIRE 09/10/1997 <br /> <br />WORK ))E$C : YENT,EXH'FS~ WS~ CAS BBQ, WH & BOILER & ~AS CON <br /> <br />S"FE AD~RE'SS : <br /> <br />( RI/SS STREE'I : <br /> <br />PAECLI_ NNMBER <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> AI) ORESS <br /> <br />F'~DNE <br /> <br />8881 LITTLE RD SE AM <br /> 8881L. ITTI.E RI) SE AM <br /> <br />STAYTON RD <br /> <br />58278-008 <br />~I_ASS~JON & RENFF <br /> <br />GI. ASS.JON & EENEE <br />8881 [It'TLE RD S? <br />AU~BVILI..E~ OR <br />(MOBILE ~ 859-0852) <br />58~-749-4~ <br /> <br />CSNTRACFOR : 6!.ASS~JNN & RFNEE <br /> I-HONE : <br /> <br />Units <br /> <br /> Domestic r,'~nge h, oods <br /> Domestic f al~/w,, nt:s <br /> I Wood stov~)s/firep l~ces <br /> 6 Gas outlets <br /> 1 Other Mechanical fee <br /> State surcharQe <br /> 1 Refu~d <br /> <br />CITY: MARION COUN'IY <br /> <br />Fee <br /> <br />OCC~. <br /> <br /> 4.50 <br /> 9.80 <br /> 7.58 <br /> 9.88 <br />21.~0 <br /> ~.05 <br /> <br /> A!~sessed fees 64.05 <br /> Adjustments <br /> Total fees 64.05 <br />PAYEE: 61.ASS,.)SN & RENEE ]'o~al payments: 64.85 <br /> B~]ance ~ue : <br />********************************************************************************** <br /> <br />THIS IS NOT APERHIT. IT IS TH~/;~E~OHSI~Y OCt..THE APPLICANT TO ASSURE <br />THAT ALL NECE,S,SARY INFORH~DVI, iI~;J~-~i~EFORE A PERMIT HAY <br />BE ISSUED. . <br />S[[;NAFNRE (')F AFFLI,ANT. <br /> <br />*************************************************************************************** <br />~)ONAi,]) E. WOODLEY~ MARION COUNTY BOILDING OFFICIAL / BY CI.YNCH <br />....................................................... FOR OFFICE NS[ ONLY .................................. <br /> <br />HAF'; 'S JR ZONE: EFU PROPERTY LOCATOR: 882W36C 82588 <br /> <br />PLAN RFVIE-W: DATE: ZONING REVIEW: DATE: <br /> <br /> <br />