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MARION COUHTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 28~ Churoh Street NE * Room 1~2 · ~lem, Oregon 97~01.3870 <br />Offloe I.Io~: 8:00-4'.}0 · Photo: (E03) ~88.6147 * 24-HR Ine~eotlon Line: (~03) 373-4427 <br /> <br /> · ECH~4;CAL Pt~I~Z T <br />PATF/T~HF : ]?/i~196 ]5z1! I~i~ZT ~ : 96-~I <br />TY~ : R~dent. ~t~on/alter~tion STA~ : <br /> <br />WORK ~C ..... ~-~T~ .................................................. <br /> <br />S~TF AD~RFSS : CITY: M~RIOfl COUNTY <br /> <br /> 7976 POET RI) SE AM <br />CR(1S,~ STRFFT : M~! I CRK <br />PARCFI. NIIMBF. R : 57821-00~ <br /> <br />OWNER NAME <br /> <br />: PrJINTFR, AI_AN G & SHEII.A O <br /> <br />1.0CATOR: 082W26D 842~0 <br /> 70NE: AR <br /> <br />APPI TCANT <br />NAME -' POINTER. ALAN G & SHF.'[I.A F, <br />AD~RFSS : 7976 POFT R~ SF <br /> AI)H~VII,I.F~ OR <br /> 97325 <br />PHflN~ ~ <br /> <br />CIINTRACT~R : PfllNTFR, At AN ~ & SHFIIA ~, OCCB: <br /> PHONF : <br /> <br />llnjti ~e;rrJptJon Fee <br /> ~ W~d stoveg/fJr~p)ace~ 7.50 <br /> 1 State surcharge .88 <br /> ~ R~fund .00 <br /> <br /> Assessed fees : 18.38 <br /> Adjustments : .00 <br /> Totml f~es : 18.38 <br />PAYFF: POINTFR, AIAN G & SNF)IA ~ Total payments: 18.38 <br /> ~alance due ~ .88 <br /> <br />THIS PEIII~IT IS I~TRAWERA~LE i~ EY.~IRES 11~ MT~ FR~ IB~ ~TE IF ~ ~ <br />~TI~, ~ IF ~T~TI~ ~A~ ~ A ~IOD ~ I~YS. ~ IF ~ <br />FAI.~ TO ~.T ALI. ~[~Tg ~ ~TATE L~S ; ~I) )TY E)I~ES. ) <br />UR)T~N ~T, ~ SiX (6) ~ EX~70H ~Y ~ ~. <br /> <br />SI~NATURF OF APPLICANT: <br /> <br />OONALO ~ WOOOI.EY, MARION COUNTY BUILOIHG OFFICIAl_ / BY MBULL <br /> <br /> <br />