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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 2~8 Church ~treet NE · Room 132 · ~alem, Oregon 97301.3670 <br />Office Houri: 8:00.4:30 · IN.ne: (603) M8-5147 ° 244,1R Inmima~tlon LIm~: (503) 373-4427 <br /> <br /> F~.ECTRTCAI. PI;R~I T <br />DATF/TT~F z 12/~,f,/9~, ]4s5~ FF. RI4ZT HO s 96~4~ <br />TY~ : C~rctat /ddit~on/atter~tton STA~ ~ ISLED <br />~Y ~ P Z~D s 1~/1996 <br /> TO E~ZRE z ~6/~/1997 <br /> <br />~K ~F~C : fiERVTCF F~R ~t~ V~I.T ~IITI.FT <br /> <br />S]lF A~DRF~ = CITY: MARION COUNTY <br /> t~6 ~ROADACRE~ RD NE ~R <br /> <br />CRrI$$ STRFFT : <br />PAR£FI NIIMRER : <br /> <br />(IWNFR NAME : <br /> <br />APPI.TCANT <br /> NAMF : <br /> <br />I-5 DVFRPA$B A1 Mil PORT 275 NFXT TO ~P~34 <br /> <br />4ttt6-9~7 <br /> <br />DFPARTMFNT OF TRANSPORTATION <br /> <br />DRYDFN FIF~TRTC ~NII <br />PO ROX 244 <br /> <br /> HIIRRARD. OR <br /> PHQNE ~ <br /> <br />(':(~NTRA~T[~R : flRY~FN FI FCTR~C <br /> PHONE : 9~t-3913 <br /> <br /> FCTR~CJAN : PRY~FN EIFCTRJC INC <br /> PHONE : <br /> <br />911PV FI F(~ : DRYPFN .ID~FPH V <br />PHONE : ORYOEH .}O~FPH V <br /> <br />97~? <br /> <br />OCCB: 8698943 <br /> <br />CONTRANT~R LICENSE: 24-322C <br /> <br />SUPFRVISOR LICENSE: 31385 <br /> <br />De~cr~pt~pn <br />S.rv~ce/feed.r~ <br />Rranch r~rru~t~ 2.60 <br />~tate ~r~harge 2.60 <br />Refund <br /> <br /> A~sessed fees : 54.68 <br /> Ad justments c .80 <br /> Total fee~ : 54.69 <br />PAYFFm DRYDEN F1FCTRTC IHC Tota) payments~ 54.66 <br /> 8alanc~ due : .~ <br /> <br />THTfi ~T TS ~-T~~E ~ E~TRFS t~ ~Y8 F~ I~ DATE IF ~ <br />Ill,NATURE QF APPLICANT~ <br /> <br /> <br />