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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 />D~TF/T~I~ ~ ~9/~R/97 ~5~4! PERltZT NO ~ 97-~7429 <br /> <br /> = ~ ZSS~D : ~9/18/1~7 <br /> TO EXP[~ : 83/17/~9~ <br /> <br />sT'rF A~DRF~R : CITY: MARION COUNTY <br /> fi724 GAIF CIrHfi RD ~E AM <br /> <br />DRB~R gTRFF'T = <br /> <br />aWNFR NAMF : ~ANTZAM r, alF Cl tl]R TNC. <br /> <br />APPI~,ANT <br /> <br /> AOI)RF~S ~ PO ~OX 477 <br /> <br /> STAYTaN. aR 97~R~ <br />PHONE = 749-7~R~ <br /> <br />f:ONTRART(IR : St.,, CDMMIINICAT]ONS & SFCIIRTTY TN OCCB: 0043378 <br /> PHONE : 769-7:~R~ <br /> <br />El FDTRI'D~AN : K0141R DAV~ I <br /> PHaNF ~ <br /> <br />CONTRACTOR LICENSE: 407JLE <br /> <br />RtlPV FI FC : <br /> PHONF ~ <br /> <br />RIIPFRV)'SaR LICENSE: <br /> <br />tln~f~ Pescr}[,t~n Fee <br /> 1 ~igns/outl¢.ne l~ghts 40.0B <br /> <br /> I R~f,md <br /> <br /> A~sessed fees : 42.00 <br /> <br />Total fees : 42.00 <br />PAYFF: ~CS COMMI~N~CAT[ONS & fiFCHR~TY ~N To~a! p~xments: 42.60 <br />R~nce ~ue : <br /> <br /> ~ %F~ICT[~ CF~ES F~ ~RIOD,E I~ ~Se ~ IF gORK <br /> ~II~NT; ~ ~ATE L~US ~ ~RI~TY ~DI~NCES. U~ <br /> <br />S[~ATtlRF OF APPLTCAHT~ <br /> <br />POH~AI.~ ~ WOfi~FY~ HAR~OH COHNTY BiU[PTHB~ OFFT~TAI_ / BY TTONEY <br /> <br /> <br />