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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room t32 · Selem, Oregon 97301-3670 <br /> Office Hours; 8:00-4:30 · Phone: {503) 588-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br />~TE~ ~ ~.~E . ~/26/~ ~S~7 ACTIVITY <br /> <br />OCCU~ A~CY : R-~ TQ EXPIRE <br />~ .~ PAGE <br /> <br /> '6v~ F~HAFIRflCK AM <br /> <br />~'ARCEI,,. ' <br /> ?ARCEL !?]'ZE : 984,0.(4 <br /> <br />Ai~E, .,.LAN E×CH,~:!'/[;E SERVIC[S <br /> <br />36429 <br /> <br />....... ~:";'~; ............... R'/?~'Y~:~ T-'~T;'F ~T 7 ] 7 "f~",,7~E.~ -~: ~%~/.. ' f ,z'_:(~F ................................................................................. <br />I.,, ~, ~ .La, revJ,¢~ fee .... L,,37 <br />:1. Res:i. den'R'~.aI ?~ittMb~g fee 17:L,,99 <br />] Rce~:Jde~Tt--ial elec:trica] fee ~,58,,;M <br />'t St.a ~:e surcharge 4!,.57 <br /> <br /> A~i;pessecl 'fees : :1.,¢ :l. 2&. 53 <br /> TO~ J fees : 1,~ ].~,6 ...... <br />PAYEE: Y~UHANS ~I-i~AS Balance due <br /> <br />T~ZS IS NOT A PER~IT. THIS APPLICATION MBST ~O T~OU~H A SIHULTANEOUS REVIEW PROCESS <br /> <br />~SSU~CE O~ A PERMZT, IT IS THE RESPON~tBILITY OF THE APPLICANT TO ASSURE THA~ ~L[. <br />~ECESSARY INFORMATION IS ~ROVIDED. AS ~OON AS ALL REQUIREMENTS QF THE REVIEW HA,E <br />~E~ ~ET.~ YOlJ Q~%L B~ NOTiFiED TNAT Y~OR PER~IT ~ BEEH ISSUED. <br /> <br /> .......................................................................... FOR D~, I~ [ML ~Fk.~} ..................................................................... <br /> <br />. ' ,[ .....RH Pr~OPEI [.Ogg ~ gl ,. <br />"'":~ ' ' ' ..... '" 5 ,.,. .... ': <br /> <br /> <br />