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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE * Room 132 * Sslem, Oregon 97301-3670 <br />Office Hours: 8:00.4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> ON-SITE APPLICATIOH <br /> DATE/TINE : 11/13/76 13:38 ACTIVITY NO : 96-8895D <br />TYPE = SE STATUS = APPLIED <br /> OCCUPANCY : R-3 SE APPLIED : 11/13/197& <br /> PA~E : I SP APPLIED : 11/13/1976 <br /> TO EXPIRE : 85/12/1997 <br /> <br />WORK DESC <br /> <br />EXIST BEDROOMS: <br />FXIS1 EMPLOYEE: <br /> <br />SITE ADDRESS <br /> <br />SS. PART}TION PARCEl. 2 OF~ '~ <br /> <br /> PROPOSEI) BEDROOMS : <br /> PROPOSED EMPEOYEE.. <br /> <br />8099 GRIMES WY SE; AM <br /> <br />4 <br /> <br />CITY: MARION COUNTY <br /> <br />SIJBD~¥IS ~t/N : <br />CROSS STRFFT : <br /> <br />PARCEL NUMBER : <br />PARCEL SITE : <br /> <br />PART[rlON PARCEL <br />BARBARA LN <br /> <br />56504-000 <br /> 2.~AC <br /> <br />LOT: 2 BLOCK: <br /> <br />OWNER <br /> ADt)RES,S <br /> <br /> PN 1NE <br /> <br />GRIMES,,.ION ,lAY & F )WELL, SUERYI, L <br /> BOX 3092 <br />SALEM~ OR <br /> 97~8~ <br />50S-769-77S7 <br /> <br />AHTH AGENT : <br /> AO1)RES~ : <br /> <br /> PHONE : <br />OEQ INSTAL.ER : <br /> <br /> RHINE : <br /> <br />?IMFS, JON .lAY & POWE:LI..,SHERYt. L <br />FO BOX ~092 <br />!:iAI. EM, OR <br /> 97:~02 <br />.,03-7, 9- 72,'~7 <br /> <br />DEQ LICENSE: <br /> <br />I)EQ <br /> <br />Fee <br /> <br /> Assessed fees : 320.~0 <br /> Ad jus t*met'~ts : .00 <br /> Tota~ fePs : S20.00 <br /> *' ~' oHERYL [. ~ota]. pa¥~lents: ~'~' * <br /> ~AYEE. :;RIMES,~J )N JAY & POWELL.,~' <br /> B~l~re Due : .88 <br /> *********************************************************************************** <br /> <br /> ~IS IS HOT A PERHIT. THIS APPLICATIOH ~T ~0 THROUGH A REVIEW PROCESS WHERE <br /> SOIL, FEASABILITY AHB IHSTALLAT~OH REQUIREHEHTS ~E CHECKED PRIDR TD THE <br /> OF A PERH~T. IT IS THE RESPOHSIBILITY OF THE AP~ICAHT TD ASSURE THAT <br /> NECESSARY IHFORHATIO. I~ PROVIDED. AS SOON AS A~ REOUIREHEHTS OF THE REVIEW <br /> <br /> QONALO E. WOODLEY~ MARl:ON COUR[Y BUI~)ING OFFICIAL / BY CLYNCH <br /> <br />................ FOR OFFICE U~ ONLY. THIS IS NOT A PERHIT ................. <br /> HAP= 4~ ZBHE: AR PR~ERTY LO.TOE: 881W~3B <br /> SEPTIC REVIEW: BATE: ZONIH~ REVIEW: 9ATE: <br /> <br /> <br />