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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaeter Dr. N.E. · Suite C · Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> OH-SITE APPLICATIOR <br />D~TE/TTHE = 86/30/97 12e2H ACTIVITY HO = 97-84923 <br />TYPE : <br />~C~Y s R-3 ~ ~PLZED 9~39/1997 <br />P~E <br /> TO ~ ~ 1~27/1997 <br /> <br />WORK DESC : <br /> <br />EXIST BEDROOMS: <br />EXIST EMPLOYEE: <br /> <br />SITE ADDRESS : <br /> <br />SS: MJR REPAIR DRAINFIELD <br /> <br /> 4 PROPOSED BEDROOMS : <br /> PROPOSED EMPLOYEES: <br /> <br />10138 DONALD RD NE AR <br /> <br />CITY: MARION COUNTY <br /> <br />SOBDIVISION : <br /> <br />CROSS STREET : YERGEH RD <br /> <br />PARCEL NUMBER : 4~791-009 <br /> PARCEL SIZE : 4.97 AC <br /> <br />LOT: <br /> <br />BLOCK: <br /> <br />OWNER : KLUNDT.EDWIN & ROSE HARY <br />ADDRESS : 10138 DONALD RD HE <br /> AURORA, OR <br /> 97071 <br />PHONE : <br /> <br />AtlTH AGENT : BOB'S BACKHOE SERVICE .~",~y// <br /> ADDRESS ~ ROBERT SPRAGUE <br /> 17004 ARBSR gROVE RD ME <br /> <br /> PHONE : (503) 981-1200 <br /> <br />INSTALLER : BOB'S BACKHOE SERVICE <br /> <br />PHONE : (503) 981-1209 <br /> <br />Units Description <br />I Major Repair <br />1 DEQ Surcharge <br /> <br />DEQ LICENSE: 33966 <br /> <br /> Fee <br /> <br /> Assessed fees 210.09 <br /> Adjustments <br /> Total fees <br />PAYEE: BOB'S BACKHOE SERVICE Total pa%merits: 210.00 <br /> Balance ~ue · <br /> <br />THIS ISNOT A PERHIT. THIS APPLICATIDN #UST ~0 THROUGH A REVIEW PROCESS WHERE <br />~t~,_~..~__~BILITY AMD IHSTALLATIOH REGUIREMENTS ~RE CHECKED PRIOR TO THE ISSUANCE <br /> n ~Ri~Ii. *IT IS THE RIESPOHSIBILITY OF THE APPLI~4NT TO ASSURE THAT ALL <br />NECESS~RY-INFOR~4TIOH IS PROVIDED. ~J Si)ON AS ACL REOUIREHEHTS OF THE REVIE# <br />H&VE BEEN I~ET, YOU WILL BE NOTIFIED. <br /> <br />SIGNATURE OF APPLICAHT: <br /> <br />OONA[.D E. WOODLEY~ MARION COUNTY BUILDING OFFICIAL / BY Cg"YNCM <br /> <br /> ZONE: EFU P~]PERTY LOCATOR: Bq1811L~ ~4~ ' ~' ' <br />LA#9 UBE CASE NO: <br /> <br /> <br />