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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 * Selem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: ($03) 373.4427 <br /> <br /> NECHAN~CAL PERHIT <br />~ATE/TT#E 11/13/96 ~23 PERHIT NO = 96-~89~7 <br />TYPE R~stdent. addition/alteration STATUS = ISSUED <br />OCCUPANCY R-3 ISSUED : 11/13/1776 <br />PAgE 1 TO EXPIRE : 65/12/1797 <br /> <br />WORK ~;~C ....... ~-~7C .................................................................. <br /> <br />SJTF ADDRF'SS : <br /> ~$691NEAIOOW loR NE AR <br /> <br />CROSS STRFFT : ARN~T RD <br /> <br />PARCEl. NIIN~ER : 7~5~-~9~ <br /> <br />CITY: NARION COUNTY <br /> <br />*)~ATOR: 0~1W~3CC04500 <br />ZONE: AR <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> AD;)RFSS <br /> <br />CON1RACTOR <br />PHONE <br /> <br /> " I <br />: HAS¥O_IO, MTL!)REt) O .;ENNINI';S <br /> <br />: HASVO!3)~N'iLt)REIO D .JEHNINi;S <br />: 2367:1 MBAIOOW loR NF <br /> AURDRA, tlr <br /> ?700? <br /> <br />: HASVOI. lo, MIL DRFD D ,IFNN:IN(;S <br /> <br /> A~r cond:tJo.ers~ uncLer 3 to~s <br />1 State surcharge <br /> R~fu~td <br /> <br />OCCB: <br /> <br /> F'ee <br /> <br />~0.00 <br /> 6.50 <br /> <br /> .00 <br /> <br /> Assessed fees : 17.3~ <br /> Adjustments : .00 <br /> Total ~ees : 17.3~ <br />PAYFE: NA!~¥OI)i~M~[DREIO D J~NN~NGS Tot~ payments: 17.33 <br /> Bal. ance clue : .00 <br /> <br />THIS PERNIT IS NON-TRANSFERABLE AHD EXPIRES 188 DAYS FROH ISSUE ~TE IF WORK HAS <br />NOT COHRFHCED, OR IF CONSTRUCTION CEASES FOR A PER~OD OF 188 DAYS. OR IF #SRK <br />FAILS TO NEET AI_L REOUTRE#ENTS ~ STATE LAWS AND NARION COUNTY ORDINANCES. UPON <br />#RITTEN RE.lEST, ONE SIX (~) NONTH EXTENSION HAY 8E GRANTED. <br /> <br />SI~*NAT IRE OF' APPLICANT1 - = ....... <br /> <br />DDNAI..D E WOOQLEY, MARION COUNTY BUILIOING OFFICIAL / BY NBUL. L <br /> <br /> <br />