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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster 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 /> ON-SITE APPLICATTON <br />DATF/TIHF = ~S/27/97 eg:4e ACTIVITY HO = 97-e6551 <br />TYPE = S[SP STATUS = APPLIED <br />OCCUPANCY = R-3 SE APPLIED = ~8/22/1997 <br />PAGE : t SP APPLZED : BB/22/1~7 <br /> TO EXPIRE = B2/18/1998 <br /> <br />EXIST ~E~ROOM~: PR~POSE~ ~EDROOMS : ~ <br />FX~ST FMPIOYFE: PROPOSE~ EMPLOYFFS: <br /> <br />SITE AOORESS : CITY: MARION COUNTY <br /> ]2~47 FRY RP NF AR <br /> <br />SIJSDIVI.S[ON : <br /> <br />CROSS STRFFT : ~ONAI.~ R~ NFAR GRIM <br /> <br />PARCEl NIJMBER : 4~R56-081 <br /> PARCFI S]7F : 4.88 AC <br /> <br />t.r)T: BOCK. <br /> <br />OWNER <br /> AI)I~RFSS <br /> <br /> REESE, JEFF <br />PHONE PO BOX 1062 <br /> TUALATIN <br />AtlTH AGENT OR <br />ADORE.SS <br /> <br />97062 <br /> <br /> PHflNF <br /> <br />OEI] INSI'AI.I.FR : <br /> <br /> PHONE : <br /> Units Oesr:r'[ption <br /> I OEO Surchar§e <br /> <br />PEG LICENSE: <br /> <br />563.08 <br /> 30. B0 <br /> <br /> AssessPd fees 59~.00 <br /> AdjustMeots .00 <br /> Tote) fops <br /> PAYEE: RFESE,.JEFF Total paxMents: 593.00 <br /> Be~mnce ~ue : .00 <br /> <br /> THIS IS NDT A PERNIT. THIS APPLICATION ~ ~0 ~HROU~H A REVIE# PROCESS ~HERE <br /> SOIL, FEASABTLITY AND INSTALLATION REOUIREHENTS ARE CHECKED PRIOR TO THE ISSUANCE <br /> OFp~AF PERNIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO A~SURE THAT ALL <br /> NE.ESSARY ~NFORNATION IS PROVIDED. AS SOOR AS ALL REOUIREHENTS OF THE REVIEg <br /> HAVE 9FEN NET~ YOU ~ILL ~E NOTIFIED. <br /> <br /> SltlNATIJRE OF APPI.ICANT: <br /> <br /> QONAI.Q E. WOOOt. EY, MAR~ON COUNTY BUILOlNG OFFICIAL / BY TTONEY <br /> <br />................ FOR OFFICE USE ONLY. THIS IS NOT A PERNZT .................. <br /> MAP: & ZONE~ EFU PROPERTY LOCATOR: 841~21A <br /> <br /> Ll~d,tD USF CASE NB: <br /> <br /> <br />