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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 Houre: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> PREFABRICATFI) STRUCTURE APPLICATIOH <br />))ATF/T)HF .- 11/19/76 I~S::I5 ACTIVITY NO 96-~8739 <br />TYPF : Cnn~ercta[ addittnn/alteration STATUS APPLIED <br />~1 fl~S : ~ther ~ruct ~dd~n/fl]terat~n ~PPLIED 11/~5/1996 <br />OCCUPANCY : F-t T0 EXPIRE ~5/~4/1997 <br /> P~GE 1 <br /> <br />WORK OF~;C : Mt)OIJIAR PRE-FAB CLASS Rf'l FRi)flT OF SO.IOOL/~RIH RD <br /> <br />S]TF AI'~DRI:'~:;S : CITY: MARION COUI,t'~Y <br /> 28246 l;Rl~M RO NK AR <br /> <br />APRI i[CANT <br />NAHF <br /> <br />F'HJINE <br /> <br />CIlN'fRACTfIR/ ~ OCCB: <br />AllKNI' : NORTH MAR(ON H[1)l)l,K SCHOOl. <br />PH[INF <br /> <br /> I Sba'be sm',:harg~ 1. <br /> <br /> A~-essed fees : 69.34 <br /> Ad jus't:~nts : .00 <br /> Tote~ fP~s : 6~34 <br />PAYKK: HORTH HARtll)iq M~OI)I.E SCHr)OI Total. ?xments: 6%34 <br /> Ba] nnc'e due : <br /> <br />THIS TS NOT A PFRHTT. THIS RPP[ [CATION HUST GO THROUGH fi SIHULTAHEOUS REVIEW PROCESS <br />MHERE %~H[HG, SEPTIC (IF APPLICABLE) ~NO CONSTRUCT[OH PLANS ARE CHECKED PRIOR TO THE <br />~UANCF OF A PFRH~T. ~T ~S THE RFSPgNS~R~L[TY OF THE APPLICANT TO ASSURE THAT ALL <br />NECE~RARY INFORHATlON IS PR~V[OEO. AS ~ON AS ALL REGU[REHEHTS OF THE REV[E~ HAVE ~EEN <br />RFFN HFT= YOU ~TII RF N~T]F~TF~ THAT YflllR PFRH~T HAS BEEN [SSUEO. <br /> <br />S[r;ht~TIJRE ~)F ~pPI <br /> <br />O[}NALO F: Wr~OOt.FY, HAR'i:~IN Ct}Ui,I'FY ~HI~:!.'OI:N[; OFFI:C(AL / BY CLYNCH <br />................................................................. F[IR (IF'FTCF USF OI,II.Y <br /> <br />HAl-h, 5R 7[iNl:']~ E[:'H Pk(ii:'FR'I'y ! fI[iA'J C]!~ <br />RFO0 SF:I'~ACKs: F'~c)n,[:~ 999 l~,'f~ 999 Ri. uht: 999 Rear': 999 Slaec::Lal~ 999 <br /> <br />PI AN R[-V)f.W : t)((j'jz~ 7[iN]I,[(~ REVIEH: DATE: <br /> <br /> <br />