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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 Houre: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> HECFI~NICAL PERH]T <br />DATE/TINE = 1~/~3/76 11=3! PERMIT HQ = 76-S7862 <br />TYPE : Resident. addition/alteration STATUS : ISSUED <br />OCCUPANCY : R-3 ISSUED : 1S/~3/1996 <br />PA6E : ! TO EXPIRE = 84/S1/1997 <br />WORK ~0 ...... ~'"FO~R-~O~T~-~R§~R .................................................... <br /> <br />SITE ADDRF$S <br /> ~3727 1`ST ,ST NE AR <br /> <br />F. RO,S,S STREET : BIJI'TE ,ST <br /> <br />PARCEL. NOMBER : 74680--0~0 <br /> <br />CIIY: MARIOH COUNTY <br /> <br />LOCAl'OR: 031W32CC00400 <br /> ZONE: AR <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />PHONE <br /> <br /> ' <br />NTRAC, TOR <br />PHONE <br /> <br />: BRANT~ROBERT V & ROBYN L <br /> <br />BRANT,ROBERT V & ROBYN L <br />23727 IST ST NE: <br />AURORA~ OR <br /> 97002 <br /> <br />BRANI,ROBERT V & ROBYN L <br /> <br />OCCB: <br /> <br />Units Descri~n Fee <br /> <br /> 1 A@p lian(:e vents <br /> 1 S,ate~ surcharge 3.00 <br /> ,65 <br /> ] Refund .00 <br /> <br /> Assessed fees : 13.65 <br /> Ad just~tents : .00 <br /> Total fees : 13.65 <br />PAYEE: BRANT,ROBERT V & ROBYN L Total pay~ents: 13.65 <br /> Balance due : .00 <br /> <br />THIS PERNIT TS NON-TRANSFERABLE AHD EXPIRES 18~ DAYS FROH ISSUE DATE IF WORK HAS <br />NOT CDHNENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 188 DAYS. OR IF #ORK <br />FALLS TO MEET ALL RESUIRENENTS OF STATE LAWS AND HARTO~ COUNTY ORDINANCES. UPON <br />WRITTEN RE.lEST, ONE SIX (6) NONTH EXTENSION MAY BE ~RANTED. <br /> <br />SIGMATURE OF APPLICANT: <br /> <br />DONALO E WOOQLEY~ MARION COUNTY BUII_DIMG OFFICIAl,. / BY CLYNCM <br /> <br /> <br />