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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 Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inepectlon Line: (503) 373-4427 <br /> <br /> OH-SITE APPLICATION <br />DATE/TIHE : 11/13/96 13:29 ACTIVITY NO : 96-B8749 <br />TYPE : SP STATUS : ~PPLIEB <br />OCCUPANCY : R-3 ~E APPLIED : <br />PAGE : I SP APPLIEB <br /> TO EXPIRE : ~5/12/17~7 <br /> <br />WORK DESC <br /> <br />EXIBI' BEDROOMS: 4 PROPOSED BEDROOMS : <br />EXIST EMF'I 0YEE: PROPOSED EMPLOYEES: <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 8~0~ GRIMES WY SE AM <br /> <br />SIJBDI¥ISION : PARTITION PARCEL LOT: <br /> <br />CROSS STRFET : BARBARA LN ON 11832 STEINKAMP RD SE <br /> <br />PARCEl.. NUMBER : 56504-000 <br /> PARCEL STZE : 3.0AC <br /> <br />1 BLOCK: <br /> <br />OWNER : <br /> ADDRFSS : <br /> <br />PHUhlE : <br /> <br />GRiMES,JON ,JAY & POWELL, SHERYL I. <br />PO BOX 3(492 <br />oALEM, r)R <br /> 97S02 <br />503-769-7737 <br /> <br />AliTH AGENT <br /> ADDRESS <br /> <br /> FH! NE <br /> <br />: GRIMES,JON JAY & POWELL,SHERYL L <br />: <br /> RE) BOX ~092 <br /> SAL. EM~ OR <br /> 97302 <br />: 583-769-77~7 <br /> <br />I)EQ INS'FALl_ER : <br /> <br />DEQ LICENSE: <br /> <br />PHONE : <br /> <br />U~'[ts Best:rio bion Fee <br />T '~3s~:frig 'Syst'ee~ Evm-~-~ation -~2.'l~ZTl~l~ <br />!. 1)EQ Surcharge 30.08 <br /> <br /> Assessed fees : 247.00 <br /> Ad justemnts : .00 <br /> Total fees : 247.00 <br />PAYEE: [~RIMES, JON JAY & P1WEU,SHERYL I.. 'l'ot~l payments: 247.00 <br /> B~] ~nce due : <br />********************************************************************************** <br /> <br />~IS IS HOT A PERHIT. THIS APPLICATI~ HUST gO ~ROUGH A REVIEW PROCESS WHERE <br />~FOIL~ FEASABIL~TY AND IHSTALLATIOH REGUIREHEHTS ~E CHECKED PRIOR TO THE ISSUANCE <br /> A ~RHIT. IT IS THE RESPONSIBILITY OF THE AP~ZCAHT TO AgSURE THaT ALL <br />NECESSARY ~HFORHAT~OH IS PROVIDED. AS ~OH AS A~ REGUIREHENTS OF THE REV~E~ <br />HAVE BEFH HET, YOU,WILL B~T~. ~- <br /> <br />DONAI.D E. WOODI..EY= MARION COiINFY BIJ]i~G FIFFICI'AL / BY CLYNCH <br /> <br /> -FOR OFFICE USE QHLY. THIS IS HOT A PER~IT ................. <br />~AP: 48R ZONE: AR PRO~RTY LO~TOR: 881W3~B 81388 <br /> <br />S~TIC REVIEW: ~ATE: ZONING REVIEW: DATE: <br /> <br /> <br />