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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br />i)AT£/TTIIF <br />TYP~ <br />OCCUPANCY <br />PAr, E: <br /> <br />285 Church Street HE · 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 />ON-STTE ~PPI.ICATIIIN <br /> ]5:I! ACTIVZTY NG : 9&"~81t? <br /> <br /> ST&TIJS RPPLIED <br /> SE APPLIE~) [ <br /> 8P APPLIE~ : <br /> TO EXPIRE : IM/18/1997 <br /> <br />WORK DFSC : FSF,' PARCFI I OF ? PARTTTTt'IN <br /> <br />EXTST BFt)ROONS: ~ PRflPfl.~£1) BEOROOflS : <br />EXIST FHPt OYFF-' pR('IPCISFI~ FflPI OYFFS: <br /> <br />· qTTE AOBRESS : CITY: NRRION COUNTY <br /> 1514~ PARK AV NF AR <br /> <br />CROSS STRFFT :CFNTFR ST <br /> <br />PARCEl, NIJMRER : <br /> PARCFI R77F : <br /> <br />PARr:FI I Of ? <br /> <br />LOT: BLOCK: <br /> <br />OWNER : MAI.ARKEY.~ARAH <br /> A~RF~ = PO RIIX 57 <br /> AIJRORA, OR <br /> <br />PHONE : &7S-St~4 <br /> <br />97~? <br /> <br />At!TH ACFNT: HAIARKFY.SARAH <br /> AOORE~S : PO BOX 5~ <br /> AURORA, OR <br /> <br />PHONF : 67R-51~4 <br /> <br />97~e2 <br /> <br />1)EQ TNSTAI.I.FR : <br /> <br />PHONF <br /> <br />OEO LICENSE: <br /> <br />Oescr(ptton Fee <br /> Surcharge Se.00 <br /> <br /> Assessed fees : 247.~ <br /> Ad~u~tnents : .~ <br /> Tota] fees : 247.09 <br /> PAYEE: MAI.ARKEY,~ARAN To~al payments: 247.0~ <br /> Ra3anre due : <br /> <br /> THI~ ~ NOT A PERHIT. THIS NaPLICATION I~IST ~(1 THROUGH A REVIE~ PROCESS I~HERE <br /> ~1.~ FEARABILITY ANO INETALLATION REgU~RI:q~ENTs ~RE CHECKE~PRIOR TO TI~ ISSUANCE <br /> <br /> NE. CK.-e~ARY INFORHATI~N ~S PRrJV~DED. RS .~OON AG ALL REGUIREflENTS OF THE RE¥IEg <br /> lgWF RFFN flFT~ YOII #YL[ lIE <br /> <br /> ~TGNATORE OF APPI.TCANT: <br /> <br /> OONAI.O E. WOOO!.EY: NARTON COUHTY BIJTI.OTNG OFFTC[AL / BY CLYNCH <br />.............. FOR OFF~CE USE ONLY. THIS I$~tlOT A PERHIT .............. <br /> HRPI 3 ZOIIE.: EFU PROP~.RTYI.OC~TORI <br /> <br /> SFPT~C RFV~EM~ lt~TE~ ZI1N~NG REVIE~ <br /> <br /> <br />