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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N.E. · Suite C · Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> HECHNJIC~L PERMIT <br />DATE/TIldE = ~/~4/97 1&134 ~HIT ~ = 97-~2528 <br />TYPE ~ R~dent. addi~io~alt~at~ ~4~ = ~SSUED <br />~Y = R-3 ~D : ~/B4/1997 <br />P~ - ; I TO E~ : 12/~1/~7 <br />~ORK DEgC ..... T-FORR~TR~;XRAO~T ........................................... <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 9B~I JORDAN ST SE AM <br /> <br />CROSS STREET : <br /> <br />PARCEL HUMBER <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ABBRESS <br /> <br />PHONE <br /> <br />: DARTELS,HENRY <br /> <br />: BARTELS~HENRY <br />: 9SS1 JORDAN RB SE <br /> AUMSVILLE <br /> OR <br />: 362-3148 <br /> <br />LOCATOR: eSlW1S ee3~B <br /> ZONE= EFU <br /> <br />97325 <br /> <br />CONTRACTOR : SARTELS,HEMRY 0CCe: <br /> PHONE : <br /> <br />U~t~.. DescriptionBase fee Fee <br /> 1~.~ <br /> 1 Forced air: over 1~,00e BTU <br /> 1 ~ir c~ndi~ionqrs,;under 3 tons 6.5e <br /> 1 uoees:ic Tans/vents <br /> I State surcharge 1.33 <br /> 1 Refund <br /> <br /> ~ssessed fees : 27.83 <br /> Adjusteents : .Be <br /> Total fees : 27.83 <br />PAYEE: DARTELS,HENRY Total payments: 27.83 <br /> Balance due : .Be <br /> <br />THIS PERMIT IS HON-TR~tSF'ERA~I.E N, ID EXPIRES 18~ DAYS FROI! ISSUE BATE IF kq3RK HAS <br />_NO_T ~, OR IF CI~ISTRUCTIOR CEASES FOR A PERIOD OF .~8~ DAYS. OR IF #SRK <br />..F~__IL~ %TO_I~EET_N_L_REGUIRENENTS OF STATE LNJS N~ I~qRIOR CSUNTY SRDINAHCES. UPGN <br />~1 I~BIJEST~ ~IE SIX (6) MONTH EXTENSION I~Y BE gRN~TE~. <br /> <br />SIGNATURE OF APPLICANT: ..................................... <br /> <br />DONALD E WOODLEY, MARION COUNTY BUILBING OFFICIAL / By PMUNRO[7 <br /> <br /> <br />