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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 · 24-HR Inspection Line: (503) 588~7904 <br /> <br /> 9Efl0L.ITION APP~ICATIOH <br />DAT£/¥iHE : 11/13/95 11:57 ~ ACTIVITY R~: 95-17534 <br />~YPE : ~oli~o~ STATUS = ~PPLIED <br />Ct.ADS : De~olition~ 1-Fe~ily BZdD ~PPLIED : 11/1~/1~95 <br />~CCUeA~ : ~-~ TO EXPIRE : 85/11/19~& <br /> P~E 1 <br /> <br />VAL [JAT ~ ON : $2,~ B~8. P8 <br /> <br />WORK l)ESC : B~MO ~ ~OBiO..E HOHE~ (ATTAOH~) <br />a .... CITY: MARION ~OUNTY <br /> ~77~ OLMSTEA~ ~D NE AR <br />(,R(.SS STREET ~ YFR~EN R~ NF <br /> <br /> P~CEL NUH~ER J <br /> <br /> OWNER NA~E : ,,1OHNSON~ROBERT & KATHY <br /> <br />APPLICANT <br /> NA~E : JOHnSON, ROBERT & KATHY <br /> <br /> AI,JRI]EA~ OR 97882 <br /> PHONE : 678-18B1 <br /> <br />CONTRACTOR/ OCCB: <br />AGENT JOHNBON,ROBERT & KATHY <br />PHONF <br /> <br /> 1 ~ete surcharge :: 1~ 6~ <br /> I ~one surcharQe 1,, <br /> <br /> Asmessed fees 35.76 <br /> A~: ~ustMents . <br /> Tc :al 'fees ~5,76 <br /> To~al payments: 35.76 <br /> :Be Lance 8ua : <br /> <br /> PAYEE: JOHNSON. ROBERT A KATHY <br /> <br /> PROCESS ~HERE ZUH~HC~ SEPTIC (~F APPLICABLE) kH~ CODE RE~U;REHEN~S ARE CHECKED PRIOR <br /> TO THE [SSU~CE OF A PERHIT. IT I9i THERE~PDNSIBZL~TY OF THE APPLICANT TB <br /> THAT ALL NECESSARY IHF~IS PROV[BED, AS ~ON AS ALL REQUIREHEHTS OF THE <br /> <br /> SIGNATURE OF APPL[CAflT= <br /> <br /> DONALD E WOO~L, EY, HARION COUNTY BUIEDZNG ~O~FICIAL / BY DSTONE <br /> <br /> ............................-- -- - FOR :~OFFICE USE G~Y .............................. - <br /> <br /> HAP; 4 ZONE: EFU PRDPE~Y LOCATOR: ~41M18C <br /> RE~D SETBACKS:Front: Left: R~gh~: Rear: Special: <br /> <br /> PI.AH <br /> REVIE~ <br /> <br /> <br />