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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 265 Church Street NE * Room 132 - Salem, Ore90n 97301-3670 <br />Office Hours: 8:00-4:30 * Phone: (503) 588-5147 * 24-HR Inspection Line: (503) 588-7904 <br /> <br />TYPE <br />CLASS <br />OCCUPANCY <br /> <br />ON-SITE APPLICATION <br /> <br />STATUS : APPLIED <br />~PPLIE9 = ~810010~e0 <br /> <br />T~ EXPIRE : ~2/~6/I796 <br />PAGE I <br /> <br />SITE Al)DRESS .- CITY= A[JROR~ <br /> <br />~U~IViSIOH : LOT: ~LOCK: <br />CROSS STREET = ~T~EEN OTT~W~Y ~ P~RK AV <br />PARCEL NU~ER : AR - <br /> <br />PHONE : 678-276~ ~_~/ . ~ <br />APPLICANT ~ ~ ~~ <br />ADDRESS : PO BOX 126 <br /> <br /> PHONE : 678-2764 <br /> <br /> :~EZRO~,JA~ES F LICENSE: <br /> 67~-2764 <br /> <br /> = SITE EVALUATION , <br /> <br /> Units Des,c r ip,~io~ Fee <br /> -'~ Site eval~tio~ ........... 27g~ 88 <br /> 1 DEQ Surcharge ~5.8~ <br /> <br />PHONE <br /> <br />WORK DESC <br /> <br /> A~sessed fees <br /> ~ocal ~ees <br /> T~tal payments. <br /> <br />D~I4A1. D E. WOODLEY~ ~ARION COUNTY BU~LD~i, OFFIC~A~L / BY <br /> <br />525.00 <br /> <br />.................... FO~ O~FICE USE ONLY. <br /> <br />THiB:,iS NOT A PERMIT ...................... <br /> PROPERTY LOCATOR: <br /> <br /> <br />