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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97~01-3~70 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 * 24-HR Inspection Line: (503) 373-4427 <br /> <br /> FI F..RTRt CH. PI:.RHTT <br />'~TF/TTflF : 11/26/96 11:35 PERNTT NO : 96-~93g~7 <br />OCCUP~IC.Y : R-3 ISSUED : Il/2&/199& <br /> TO EXPZRE : ;b5/25/1997 <br /> <br />Nr}RK OF*fig = NF*W RF. RV/5-gTR FOR Ar, <br /> <br />STTF ADI)RF~fi : CITY= HARION COUNTY <br /> 2~t77 gAffE RO NE AR <br /> <br />CR{%~R ,~TRFFT <br /> <br />PARCF. I. NIIHRF*R g <br /> <br />OgHFR HANF ; <br /> <br />APPI.tCANT <br /> NAHF : <br /> <br />: ~T PAUl HY & CAgF RB <br /> 41B39-~ <br /> <br />~J~l NFfi, WTl FRFD- A~- B[ <br /> <br />SUR~.FOH SHANF STUART <br />3.~R1. 7TH .~T <br /> <br /> HtlRRAR)~ OR <br /> PHONE : 981-044& <br /> <br />CONTRACT[iR ~ SURGFON SHANE 3TIIART <br /> PHONE : 981-8446 <br /> <br /> : (~) ~1~44& <br /> <br />SUPV FI FC = SURGF~N ~HAHF ~ <br />PH~N~ = ~IIR~E~N SH~NE S <br /> <br /> OCCB: 0111812 <br />C[iNTRACT[iR LICENSE= 24-347C <br />$1~FRVTS[IR LICENSE= 4127S <br /> <br />Pe~rr~pt~on Fee <br />Service/feeders up to 2~ a~ps 50.~0 <br />Branch c~rcu~fs <br /> is.es <br />~tate surcharge 3.~ <br />Reftlnd <br /> <br /> Assessed fees : <br /> <br /> Total fees : <br />PAYFF.- StlRI;F[iN ,qHAHF ~TtlART Total pa~ent's= 63.~ <br /> Balance ~ue ' <br /> <br />TH~5 PE~T ~ ~-TR~R~E ~D EXP[~ I~ ~Y5 F~ <br /> <br /> J~ ~1 E~T~ .~ ~TED. <br />S[GNATIJRE <br /> OF <br /> APPI.~CANT~/~__~ .... ~-- <br />DONOAI.O E WOOOI.FY~ IlAR'ION COUNTY BIJTIDINBG OFFIi,~AL / BY ~STON~ ~ <br /> <br /> <br />