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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: [50~) 588-5147 * 24-HR Inmpactlon Line: (503) 373-4427 <br /> <br />~]TF ADDRFR~ = <br /> <br />CITY: MARION COUNTY <br /> <br />'214~5 HtIBBARO CUTOFF NE AR <br /> <br />RRllRR ~TEF'FT : FHI FN/NFXT HOtI~F SOIITH OF EHI EH RD OH [:AST SIDE* <br /> <br />PARCEl NIJM~R ~ 4~4~7-~ <br /> <br />I.Or,ATOR. 041W14A 00600 <br /> ZONE: EFU <br /> <br />OWNER NAME : VANLTEIJ, R WAYNE & BARBARA E <br /> <br />AF'PI )CANT <br />NAME : WOI.F'ERS [NC <br />A))I~RF,~R : 29~t YOUNg, <br /> <br />PHNNF ~- 9R~1-45] ) <br /> <br />CON*IIRACFOR : WOI.FERS THC OCCB: 0B0191~ <br /> PHONF : 78~-451 ~ <br /> <br />IJnits I),~script*Jon Fee <br /> <br /> 1 Fora:ed air~ t0~,,~00 BTIJ & 'tess 6.0~ <br /> ~ Gas ouf]P~s 2. ~0 <br /> I .c;tate surcharge .9~ <br /> :1 Refund .00 <br /> <br /> Assessed fees : 18.90 <br /> Ad justments : .00 <br /> Total fees : <br />PAYFF~ W(ilFFRR THC T~I-a] pax~ents: 18.90 <br /> Balance ~ue : .~ <br /> <br />THTS PERHTT ~S ~N-TR~FAR~E ~D EXPelS 1~ ~YS <br />~T CBHHFHCFP~ ~R ~F C~T~TT~ CFA~9 F~ A ~OD ~ 18~ D~YS. OR IF ~ORK <br />FATI.~ TO H~T Al.I. RgGU~R~H~HTS ~F STAT~ L~S ~D ~RIOH COUHTY ORBIH~HCES. UPON <br />~TTFH RF~IIF~T~ OHF STX (~) HBHTH EXTF~ON HAY BE GRANTED. <br /> <br />SII;NA'FIJRE OF APPI.ICANT: <br /> <br />~f)HAl.l) E WF)OI)I.F:y~ MAR[ON CF)liNTY BU~IO*[NG OFFICIAl / BY OSI'ONE~ <br /> <br /> <br />