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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 /> BUILDING APPLICATION <br />DATE/TIHE : 11/~8/96 16=88 ACTIVITY NO : 96-88887 <br />TYPE : Resident. addition/alteration STATUS : APPLIED <br />CLASS : D.elIing addition/alteration APPLIED : 11/~8/1976 <br />OCCUPANCY : R-3 TO EXPIRE : a5/87/1997 <br />C(INSTRIICTTON : V-N PAGE <br /> <br />VAIllATTON : $5,640.00 <br /> <br />WORK DFSC : AOD OECK TO RES <br /> <br />STI'E ADDRESS : CITY: DETROIT <br /> 210 LAKECREST 1)R OT <br /> <br />CROSS STRFFT : 2ND ST <br /> <br />PAR~,EL NUMBER : 90250-058 <br /> PARCEL SITF* : ]3588.00 8F <br /> <br />OWNER NAME : B JRT,CHARLES I) & SHIRLEY D <br /> <br />APPLICAN'! <br /> NAME <br /> ADDRESS <br /> <br />BURT,SHtRLE~ <br />4174 STRATUS CT S <br />SALEM, OR <br /> <br />PHONE : <br /> <br />97302 <br /> <br />CONTRACI(~R/ <br /> AGENT <br /> PHONF <br /> <br />WYAI'T GFOFFREY DONALD <br />BIJ~RT~SHIR!..EY <br />37,~--604 :~l <br /> <br />BUILOING SO Fl': <br /> <br />STORIES: 1 <br /> <br />Units Description <br />----1-.8 --~.(i'ldin§ Fee <br />1.0 Plan Review Fee <br />1 Stat~ surcharge <br /> <br /> OCCB: 00748~5 <br /> <br />HEIGHT: <br /> <br /> Fee <br /> <br />36.73 <br /> 2.83 <br /> <br /> Assessed fees : 96.06 <br /> Adjustments : .00 <br /> Totml fees : ?6.86 <br />PAYEE: BURT, SHIRLEY l'otal payments: <br /> B~]ance dL~e : 96.06 <br /> <br />THIS IS HOT A PERHIT. THIS APPLICATIOH HOST ~0 THROU~H A SINULTAHEOUS REVIE# PROCES'S <br />~HERE ZONINg. SEPTIC (IF APPLICABLE) AND COHSTRUC'rloN PLANS ARE CHECKED PRIOR TO THE <br />ISSUANCE OF A PERHIT. IT IS THE RESPONSIBILITY OF THE APPLICAHT TO ASSURE THAT ALL <br />HECESSARY I~FORNATION IS PRDVIDED. AS ~OH AS ALL REGUIREHENTS OF THE REVIEt HAYE <br />RFEN NET, YOU MILL BE NOTIFIED THAT YOUR PERNIT I.~S BEEN ISSUED. <br /> <br />SI~NATIJRE 0F APPL[gANT: ....................................... <br /> <br />QONALQ E. WOODLEY~ MARION COUNTY BUILI)ING OFFICIAL / BY PMUNRO <br /> <br />........................................... FOR OFFICE USF ONLY ...................... <br />SITE / UGB: <br />MAP : /85 ZONE: RS PROPFRTY LOCATOR: 185E82AD02608 <br /> <br />REQl) SETBACKS: Front: Left: Right: Rear: Special: <br /> <br />PlAN REVIFW : DATE: ZONIN~ REVIEW: DATE: <br /> <br /> <br />