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MARION CO:U,N'r"Y BUILDING INSPECTION <br />COMMUNrIqf DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE - Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 * Phone: (503) 588-5147 · 24-HR Inspection Line: (50'3) 588.7904 <br /> <br /> AUTHORIZATION/ALTERATION PERNIT <br />BATE/TINE ; 00/29/95 15=57 STATUS : ISSUED <br />PER~IT NO : 95-1~9~5 APPLZEB = 07/06/1Y95 <br />TYPE = SP ISSUEB : ~8/24/1995 <br />~LASS : TO EXPIRE <br />OCCUPANCY : <br /> <br />STTE A~RE!~S : CITY: ~ARIOIq COUNTY 19762 OLMSTEAD RD hie AR <br /> <br /> SUL~DIVI$ION <br /> <br /> CROSS STREET <br /> <br /> PARCel IIt,IMBEI~ <br /> ~ A~£,EI,_ SIZE <br /> <br />: OWNER NA~E <br /> <br /> APPLICANT <br /> flA~E <br /> ADDRESS <br /> <br /> CON~'BACTOR <br /> PHONE <br /> <br /> WORK DESC <br /> <br />BLJT'I'EVILL. E RD <br /> <br />7~§0-690 <br /> 5.0 AC <br /> <br />B~CE~HARRY A <br /> <br />BEO(~HARRY A <br />19762 OI. HSTEAD RD NE <br />A[IRORA~ OR <br /> <br />~?~'-1126 <br /> <br />B6B~S BACKHOE SERVICE <br />(503) ~81--1200 <br /> <br />AUTH W/ALTER & PLIHP <br /> <br /> I~its Desc¥'ip'~io~ <br />...... A~-[:~or.~E~txoo w/P~eld Visit <br /> 1 Author iza~:[o~/Alter ation <br /> 1 Effluent PuMp/Siphon <br /> 1 DEf~ Surcharge <br /> <br />BL, OCK: <br /> <br />PROPERTY L6CATOR: 841W19C 66660 <br /> ZONE= EFU <br /> <br />976~2 <br /> <br />F~.e <br /> <br />1~1 · 60 <br />25,,00 <br /> <br /> Assessed 'Fees 408.00 <br /> Ad~ustlqeo.l?~ <br /> ¥o~al foes 408.00 <br /> Total payments: 408.00 <br /> <br /> Balance ~e : ....................... --.~ <br /> DONAL. D E~ w6ODLEY, MARION COUNTY BUILDING OFFICIAL / BY TNEAL ~_ <br /> ............................................................... $ ..... ! .................................................................. ~_..~:.,. <br />THIS PERHIT IS NON-TRANSFERABLE ANB EXPIRES 365 BAY~ FROH ISSUE BATE IF WORK HAS NOT <br />CO~HENCED OR ~F WORK FALLS TO HEET ALL REDU~RENENTS OF STATE LAWS ANB HARZQN COUNTY <br />ORBIHAflCES~ <br /> <br /> <br />