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MARION COUNTY BUILDING INSPEC'FION <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 /> D~IELL]tNG PEENIT <br />DATE/TIHE 12/27/9.5 1~:18 PER~IT NO : 95-18251 <br />TYPF He~ S~,~gle F~iy D~e~li~g. STATUS t ISSUED <br />CLASS 1-Family D~e~iing~ ae~acneo ISSUED : 12/27/1~5 <br />~CCUPAHC~ R-~ TO EXPIRE : a&/24/i99& <br /> <br />WORK PFSC : NEW RFS - L 6~ BL 3 - AiIMSVIi, LE H~ADflWG <br />SITE ~OORES& ,: C~TY: AOH9VII,LE 85~ CH~RYL ST AM <br /> <br />[.ROSS S TRE~-,I <br /> <br />PARCEL NUM~ER : 9~:1,2-191, PROPERTY LOCATOR$ <br />PAR[:E' SI~ : 7448. ~ ~F ZONE: RS <br /> <br />OWNFR NAMF : KF~ZER BH~L,,DIHG & DFSIGN ' <br /> <br />APPI_'~ CAI,IT <br /> NAflF <br /> ADDRESS <br /> <br />KUB[SHTA MIKE <br />418 APpt,.EBLO,~,BOM AVE N <br /> <br />~:$AL, Efi ~ OR 9730~ <br /> <br />C[IIqTRACTOR/ <br /> ACCel'IT <br /> I:'i4ONF' <br /> <br />I(UBISHTA MIKE <br />K ,IB~SHTA~ MIKE <br /> <br />BI.Ii[I.1)ING BQ FT: lv'?OB STOR'IE~." 1 <br /> <br />Un J.'['~; l)escr~tion . , : ]"i'" <br />.... T:~ .......... ~. s ~'~tTiTF~a~~ '" <br />1.0 Pla¥~ review fee ,' <br />I Reside~tia]. plumbing ~e~ "~ <br />1 Residen'~ial electrical 'Fee : <br /> <br />OCCB: 8~&a578 <br /> <br />................. <br /> 161.5~ <br /> 110.58 <br /> ~4,, 08 <br /> 102.00 <br /> <br /> Ass!e~sed fee~ 723.78 <br /> <br /> ' To~a;]. feem 72~,.78 <br /> : 1'o~:~I1 pax~en'~s: 723.78 <br />PAYEE: KtIBI~HTA MIKE : BalanCe <br /> <br />THIS PERNiT IS NOH-TRANSFERADLE AND EXPZRESi:188 DAYS FRON ISSUE DATE IF ~SRK HAS <br />HOT COHHENCED~ OR IF CONSTRUCTION CEASES FOR!A PERIOD OF 180 DAYS. OR IF ~ORK <br />FALLS TO NE/TALL REDUIR/flENTSOF STATE LAiJS[ AND HARMON COUNTY ORDINANCES. UPON <br />WEITTEflREOUEST~OHE,SIXHONTHEXTENSION NAY:DE GRANTED. <br />SIGNA'FilRE OF APPLICANT: <br /> <br />DONAI D E., W[10DLEY,~ MARION COI,INTY BUILDING O'ICIAL / BY DFREILII' <br /> <br /> <br />