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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Chumh Street NE · Room 132 · Selem, Oregon 97301-3670 <br /> Office Hours: 8:00.4:30 · Phone: (505) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> OH-SITE APPLICATIOH <br />DATE/TIHE : 11/13/96 1~'.38 ACTIVITY NO : 96-~8678 <br />TYPE : SP STATUS <br />OCCUPANCY : R-3 SE APPLIED <br />PAgE : 1 SP APPLIED : <br /> TO EXPIRE : gS/g3/l??7 <br /> <br />WORK DESC : AUTH-FIELI) VISIT/REPLACE MFG <br /> <br />FXIST BEDROOMS: ,~ PROPOSED BEDROOMS : <br />EXIST EMPLOYEE: PROPOSED EMPI..OYEES: <br /> <br />S.T'[E AI)DRFSS : CITY: MARION COUNTY 881:~ WEST STAYTON RI) SE AH <br /> <br />StI~II)IV) S:t ON : <br /> <br />CROSS STREET · I ' "- <br />PARCEL NUFINFR ~ <br /> PAR{, .I. SIZE ..... 4t, <br /> <br />LOT: BLOCK: <br /> <br />OWNFR .F .... : GH~ENN~ BOBRY <br /> Al)DR ..SS ,~ P 0 BOX 26J <br /> L YONS~ OR <br /> <br />PHONE : 859-2747 <br /> <br />AUTH AGENT <br />ADDRFSS <br /> <br />: [~!,IINN~ BOBBY <br />," Pll BOX ,~6~ <br /> !.¥ONS OR <br /> <br />PH :)NE : 859-2747 <br /> <br />97~58 <br /> <br />INSTAl [ER : <br /> <br />PHI'INE : <br /> <br />Units <br />---f-- .......... ~ u-~ ~F' ~. ~.~-~-7~-~ '[ d Visit <br />] DEQ SL~rcharge <br /> <br />DIEQ LICENSE: <br /> <br /> Fee <br /> <br />~0,00 <br /> <br /> A~sessed fees : 247,00 <br /> Adj~stMents : ,00 <br /> Total fees : 247, 80 <br />PAYE[:~ GU:ENI% BO~J'~Y Tota) paXments: 247.8~ <br /> T~m 1 alice due : ,08 <br /> <br />THIS IS HOT A PERHIT. THIS APPLICATIOH HUST GO THROUGH A REVIEW PROCESS WHERE <br />SOIL, FEASABILITY AND INSTALLATION REOUIREHENTS ARE CHECKED PRIOR TO THE ISSUANCE <br />OF A PERHIT. IT IS THE RESPONSISILITY OF THE APPLICANT TO ASSURE THAT ALL <br />HECESSARY IHFORHATION IS PROVIDED. AS SOON AS ALL REOUIREHEHTS OF THE REVIE# <br />HAVE SEEN NET~ YOU #ILL BE HOTTFIED. <br /> <br />DHNAI D E, WOODLEY~ MARION COUNTY BI.I.1L~)IIdG OFF, (.IAi. / BY LIDA¥IS <br /> <br />................ FOR OFFICE USE OHLY. THIS IS HOT A PERHIT ................. <br /> NAP: 5! ZONE: EFU PROPERTY LOC~TOR: 882W36C 82398 <br /> <br />SEPTIC REVIEW: DATE: ZOHIHC REVIEW: DATE: <br /> <br /> <br />