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MARION COUN'FY 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) 588-7904 <br /> <br />PI.UH6[NG APPI.[CAT[ON <br /> <br />DATF/TIHF <br />TYP~ <br /> <br />: S9/38J/96 12:15 <br />: New Restdentta! <br />: R-3 <br /> <br />ACTXVITY HO = 96-0774! <br />STATUS = APPLIED <br />APPLZED = ~9/3~/~996 <br />TO EXPIRE = S3/29/~997 <br /> <br />WORK OEeC : ~0 F'¥ SI. & 100 FT WI. <br /> <br />~94R f)ARI FY Rf~ SF AM <br /> <br />CROSS STREET : W STAYTON RQ <br /> <br />PARCEl NHMRFR <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> A~ORFSS <br /> <br />PHONE <br /> <br />6J597-000 <br />8AI.KEMA,JAflES I. & TONI I. <br /> <br />8AI,KEMA[.JAMES L & TONI L <br /> BOX 59,~ <br />STAYTON~ OR <br /> 97~R~ <br /> <br />CONTRACTOR : BAt KFflA, JAMFS L & TONI [ <br /> PHONE : OCCB: <br /> <br />PI UMI~F'R : <br />PNONF : L. ICENSE: <br /> <br /> F'eet sewer :l~ne charge <br />1 St'a~e surcharge <br /> Re fttl~d <br /> <br />CITY: MARION COUNTY <br /> <br />30.00 <br /> 2.50 <br /> .00 <br /> <br /> A~s~ss~d fees 52.58 <br /> Adjustment~ .08 <br /> ¥otal 'fees 52.58 <br />PAYFF'~ BAII(FNA,JAMFS I & TON:r ; I'ota] p~Yments: 52.50 <br /> Balance ~ue : .00 <br />******************************************************************************* <br /> <br />TH[S XS NOT A PERH[T. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br />THAT At L NFCFS~ARY [NF~RHATxT~ON IS PROVT~E~ AND FEES ~AID BEFORE A PERHIT HAY <br /> <br />***************************************************************************** <br />~ONAI ]~ E,, WO(I~I ~Y~ MARION ~OItNTY BIIII ~]l~lJ~ OFF]R~AL / BY CLYNCH <br />........................................... FOR OFFICE USE ONLY ........................ <br /> <br /> P! AN REV'[~W: I)AT~: 7i]NINI; REV'[FW: DARE: <br /> <br /> <br />