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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 />DATE,FTIHE z 81/2~/9~ <br />TYPE ; SP <br />OCCUP~I~Y : R-3 <br />PAGE : I <br /> <br />11,,44 <br /> <br />ON-SITE APPL IC/tTIOH <br /> <br />ACTt'¥ITY HO ~ 98....~454 <br /> ~ <br />SE ~F'Pt. IED = <br /> <br />: 87/19/199'8 <br /> <br />gORK-~£SC ..... 7-;OTRTFCP-*9[~;-37BED-~gFC[ ......................... COC~TORT-~8~Ig- 0050~ <br /> C~TY: MARION COUNTY <br />I£XIST ~EDRO0~S: 2 PROPOSED SEDROONS : 3 LAND USE: <br />EXTST EMPLOYEE: PROPOSED ENPLOYEES~ HAP~ ZONE: EFU <br /> <br />SITE ADDRESS : <br /> <br />9832 ,JORDAN ST SE AH <br /> <br />SIIBDIVZSION : <br /> <br />CROSS STREET : SIVER FALLS HY SE <br /> <br />PARCEL HUHRER : 56885-888 <br /> PARCEL SIZE : .88 AC <br /> <br />OWNER : GARCIA KEN <br /> hDDRESS = 9832 JORDAN BT SE <br /> AUHSVILLE <br /> OR <br /> : 5S5-7&78 <br /> <br />DF~"INSTALLER ~ <br /> PHONE : <br /> LICENSE NS : <br /> <br />LOT: BLOCK= <br /> <br />CONTR/AGENT~ COX CONSTRUCTION INC <br /> ADDRESS: PO BOX 384 <br /> <br /> SILV£RTON~ OR 97381 <br />97381 PHOF/E~ 873-8521] <br /> OCCB: 01S8887 <br /> <br />I DEQ Surcharge <br /> <br /> Assessed fees : 247.0~ <br /> ~djust~ents : <br /> Total fees : 247.0~ <br />PAYEE: COX CONSTRUCTION INC Total payments: 247.B8 <br /> Balance due = .aB <br /> <br />~ I~RTI~ I5 ~VI~D. ~ ~H ~ ~ ~IR~T~ ~ T~ REWE <br />SIGNATURE flF APPL.ICANT~ <br /> <br />~OHALD E. ~Ofl~LFY~ HAR~OH COUHTY ~IIILDIHG.OFFIC~L / ~Y H~ULL <br /> <br /> <br />