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12337721
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Last modified
8/26/2024 12:06:58 PM
Creation date
8/23/2024 3:08:39 PM
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Permits
Permit Address
12233 SECLUDED PL SE
Permit City
Jefferson
Permit Number
555-24-005772-EVAL
Parcel Number
093W23A 01401
Permit Type
Site Evaluation
Permit Doc Type
Permit Document
Status
Ready to Film
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• <br /> Marion County Building Inspection <br /> 555 Court St.N.E.,Room 2260,PO Box 14500 Salem,Oregon 97309-5036 <br /> Office Hours:8:00-4:30 Phone:(503)588-5147 Inspection Line:(503)373-4427 <br /> Check your Permit Status On Line at:http://publicworks.co.marion.or.us/building/ <br /> EXISTING SYSTEM APPROVAL <br /> DATE: 11-26-2007 TYPE: ESE PERMIT NO: 05-05213 <br /> CITY: MC USE: R STATUS: CLOSED <br /> MAP: 68 ISSUED: 09/27/2005 <br /> SITE: GS EXPIRES: 09/27/2006 <br /> ZONE: AR <br /> • <br /> • <br /> WORK DESC: ESE: 2 BDRM MANU/REMOVED 7-16-05* PARCEL 1 OF 2 <br /> SITE ADDRESS: 12233 SE SECLUDED PL JF <br /> PARCEL: 093W23A 01401 <br /> APPLICANT: KENT,PETER R & <br /> ADDRESS: KENT,PATRICIA A <br /> 2388 FARMER RD SE JEFFERSON OR 97352-9609 <br /> PHONE: 503-316-8898 <br /> OWNER: KENT,PETER R & <br /> • ADDRESS: KENT,PATRICIA A <br /> 2388 FARMER RD SE JEFFERSON OR 97352-9609 <br /> PHONE: <br /> INSTALLER: <br /> LICENSE NO: <br /> ADDRESS: <br /> PHONE: <br /> Description Fee Units Description Fee <br /> Existing System Evaluation: $300.00 Other Inspection Hrs: $0.00 <br /> DEQ Surcharge: $40.00 Reinspecion Hrs: $0.00 <br /> Misc/Copy Fee: • $0.00 <br /> Total Assessed Fees: $340.00 <br /> Adjustments: $0.00 <br /> Total Fees: $340.00 <br /> Total Payments: $340.00 <br /> Balance Due: $0.00 <br /> THIS EXISTING SYSTEM EVALUATION IS NON-TRANSFERABLE AND NON-REFUNDABLE. <br /> SIGNATURE OF APPLICANT: X <br /> WARREN D.JACKSON,MARION COUNTY BUILDING OFFICIAL I BY RSESSUMS <br /> CALL BEFORE YOU DIO...LTS THE LAW. <br /> ATTENTION:Oregon law requites you to Lbilow rules adopted by the Oregon Utility Notification Curter.Those rules are set forth by Oregon Administrative Rules.You may obtain copies of the rules by sag the center. <br /> (Note:The telephone number tbr the Oregon UWityNalifation Center is 1-800-332-2344). <br />
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