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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: (503) 588-5147 ° 24-HR Inspection Line: (503) 373-4427 <br /> <br /> AUTHORIZATIOH/HAJOR REPAIR PERNIT <br />DATE/TIHE : 82/86/97 89:44 PERHIT HO : 96-88342 <br />TYPE : SP STATUS : ISSUED <br />OCCUPAHCY : R-3 ISSUED : 82/86/1997 <br /> TO EXPIRE : 82/86/1998 <br /> PA~E I <br /> <br />WSRK DESC : AUTH/MAJOR REPAIR "NO HISTORY" <br /> <br />,~llE ABI)RESS : CITY: MARION COUNTY 12F~55 NFAL ST SE AM <br /> <br />SUSOt:VISION : LOT. BLOCK: <br /> <br />CROSS STRFET : L.L.A 96-8 STAYTON R~) <br /> <br />PARCEL N tHBKR : 7:~508-8~0 <br /> PARCEl S~TZ~': ,' 21924.0SF <br /> <br />PROPERTY L, OCATOR: 091W19BB0300(4 <br /> ZONE: AR <br /> <br />OWNER : HOL,LIN6SWORTH~ALTA & ROBERT <br /> <br />AOTH AC, ENT <br /> AO0~ ,SS <br /> <br />PHONE <br /> <br />HOLI,,INGSWORI'H~,ALTA & ROBERT <br />4684 BUENA t/LSTA RD S <br />,.IFFF ERSO!,I <br />OR 97S52 <br /> <br />I)EQ tNSfA!.rI.ER : STAYTON, MI. CTY & SII.VERTON SEDEQ L[ ;FNSE: 34916 <br /> <br />PHONE .~ (583) 769-2302 <br /> <br /> i,~,~, :l o n <br />~.~,. ~ .................. <br />Authorizat:i. on w/Field Visit <br /> Surcharge <br /> <br />Fee <br /> <br /> 217.00 <br /> <br /> Assessed fees : 247.00 <br /> Ad justments : .00 <br /> Total fees : 247,08 <br /> '{' ' Total pay~m~t's: 247.00 <br />PAYF. E: HOLLINGSWORTH~AL'[A & ROBERT <br /> Balance due'. .00 <br /> <br />THIS PERNIT IS NON-TRANSFERABLE AND EXPIRES 365 I~YS FROH ISSUE DATE IF WORK HAS HOT <br />CI)I~ENCED OR IF #ORK FAILS TO NEET ALL REGUIRENENTS OF STATE LAWS AND NARION COUNTY <br />ORDINANCES. <br /> <br />StGNATURI" OF APPLICANT: ................................................. ~,.~L- ................ <br /> v <br /> <br />I)ONAL. D E WOOI)L. EY~ MARION COUNTY BUILDING OFFICIAL / BY CLYNCH <br /> <br /> <br />