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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY 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 * 2~,-HR inspection Line: (503} 588-7904 <br /> <br /> ON-SITE APPLICATION <br />BATE/TIME 07/18/95 12:~3 STATUS : APPLIED <br />PER~IT NO ~5-14~80 APPLIED : <br />TYPE SP <br />CLASS TO EXPIRE : 81/14/1996 <br />OCCUPANCY R-~ PACE 1 <br /> <br />SITE. ADDRESS : CITY: HARION COUNTY <br /> ~ 11815 DALY RD NE ~R <br /> <br />LOT: BLOCK: <br /> <br />. PARCEL HUM~ER : 40031-8~0 <br />PARCEL SIZE : 1.4 AC <br /> <br />::NANE <br /> <br />BURGESS, DON R & KATHLEEN;M <br />23SS1SCHULTZ RD HE <br />PORTLRND~ DR <br /> <br />PNOHE <br /> <br />= BURCESS,DOW R & KRTNLEEN :fl <br />: 2~881SCHULTZ RD NE <br /> PORTLAND~ OR <br /> <br />PHONE : <br /> <br />CONTRACTOR <br />PHONE <br /> <br />: ~URCESS~DON R & KATHLEEN iH <br />: <br /> <br />97e~2 <br /> <br />OCCD: <br /> DEQ: <br /> <br />Units Descript,i,,pn Fee <br />i gonstruc~ion FerH'['~ .......... <br />1 BEG Surchar§e <br /> <br /> Assessed fees : ~87.~ <br /> Adjustments : .~8 <br /> Total fees : 387.08 <br /> Total payments: ~87.88 <br /> <br /> Balance due : .8~ <br /> <br />................ FOR OFFICE USE ONLY. THIS IS NOT A PERNiT--4,C..~v~*' ......... <br /> ZONE: AR PROPERTY LOCATOR: 031W~2CAB~180 <br /> <br /> <br />