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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) ~88-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br /> BtJ[LOING APPLICATION <br /> <br />TYPE Addendum to P~a~s STATUS ; RPPLIED <br /> <br />OCCUP~flCY R-~ TO EXPIRE <br />[:~NSTRUCT~ON V-N PA~E <br /> <br />SAN'FI~M ~v <br /> <br />I)AI,,,F PAl)ER <br />C/O. SHAFF'ER <br />N/~ <br /> <br />~62-4882 <br /> <br />SI4AFFER HOHES <br />DALE PADt!'R <br /> <br />ST( t<.[E.~..~, 1 <br /> <br />PHONE <br /> <br /> A&ENT <br />P H fiNI:.'. <br /> <br />CITY~ <br /> <br />O[,I..B, 0¢7913'P <br /> <br /> Assessed 'fees <br /> <br />PAYEE: OALE,PAI)ER ~ Balance due : <br /> <br />THIS IS NOT A PERfllT. THIS ~PPLIC~TION ~U~T~:~O THEO~GH <br />W~E~[ ZONINg, SEPTIC (IF APPLICABLE) A~D CO~ST~ION PLANS ARE CHECKE~ PEIDE TO THE <br />ISSUANCE OF ~ PE~N~T. ZT IS THE RESPONSI~ZEITY DF THE APPLICANT TO ~SSURE THRT ~LL <br />NECESSARY INFORMATION IS PROVIgED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW HAVE <br />BEEN NET, YOB ~ILL BE NOTIFIED THAT YQIIE PER~IT HA~ BEEN ISSUED. <br /> <br />)~,A I ~ ~ )I).EY, HA~IO~ COUNTY BUILDING OEFI('IAI / BY <br />.......................................................................................... FOE fJFF~E ]USE ONLY ............................................................... <br /> <br /> <br />