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MARION COUN f 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 /> I~UTI.O~NG /IPPI_TCATTON <br /> ~TF/TTIgF = 1~/15/9& J?.-37 ~CTIVITY NO : 96-~8193 <br /> T~PE : Nme Coap~,rci.,tl ST/~TUS = APPLIED <br /> CIILRS = HJscel)enem:; lt~ ~PPLIED -' 1~/15/1996 <br /> OCCIJPN4CY : IJ-t TO EXPIRE ~ ~4/13/1977 <br /> r. ONSTRUC. TTON = V-N P~GE 1 <br /> <br />** MORK DF. SC : STUN - FOR HOME I~I,LqTNES,~ IN COMI. ZONE <br /> SITF A~DRFSS : CTTY~ ~UNSVILLE <br /> <br />CROSS STREET : AM 48.5 MA[~ BT <br />PARCF[ NilMRFR : 9~8~-58~ <br /> <br />PARCEl. STYE <br />OWNFR flAMF <br /> <br />APPLICANT <br />NAMF <br /> <br />PHOHF <br /> <br />CONTRACTOR/ <br /> AGFNT <br /> PHONE <br /> <br />· . HII))~TNS, RICHARD <br /> <br />~ OI IVFRA.LTNDA <br /> C/O RICHARD HIJDGTNS <br /> PO ROX 7~? <br /> AIJHSV[I.I.E~ OR <br />~ 749-~71 <br /> <br />OITVFRA,tINDA <br /> <br />OCCB: <br /> <br />RIt}I DTN(; Sf~ FT: <br /> <br />STORIF~: ] HEIGHT: <br /> <br />Building Fee 10.0~ <br />Plan Review Fee 6.50 <br />State surcharge .50 <br /> <br /> Assessed fees : 17.0~ <br /> Adjustments : <br /> Total fees : 17.0e <br />PAYFF: OIIVFRA,[IN~A Total paxments: .00 <br /> Balance due : 17.00 <br /> <br />~EI~_..I~)_TGA PERHIT. THIS APPLI~TION MUST GO THROUGH A SIHULTAHEOU5 REVIEM PROCESS <br /> Ztl~ll~,. SEPTIC (IF APPLICABLE) ~ COHSTRIJ~TION PLAH8 N;:E CHECKED PRIOR TO THE <br />it~c__l~_.[.O~_. A ~ER~IT. ~T tS THE RESPONSIBILITY OF THE ~PPL[CRNT TO ~SSURE THAT ALL <br /> e~r~RR~ [NFORI~TIDN IS PROVIDED. AS Si)ON ~S NJ. REGU[REHENTS OF THE REVIE# HAVE <br /> MET, YOU HILL {)~ NOTIFIED TI~T YmJR PEK'HIT I~S <br /> <br />S~GNATilR~ OF ~PPiICAHT: ..................................... <br /> <br />DONAtD F. WOODIEY, MARION COUNTY BUILDING OFFICIAL / BY PMUNRO <br /> <br />SI'IF / tlUR: AM <br />HAP : 51 ZONE: CG <br /> <br />RFQD SFTBACKS: Front: [.eft: <br />PI.AN REVIEW : DATE: <br /> <br />FOR OFFICE USE ONLY ...................... <br /> <br /> PROPERTY I.OCATOR: ~B2W25DCa460B <br /> <br /> Right: Rear: Special: <br /> <br /> ~ONTNG REVIEW: DATE: <br /> <br /> <br />