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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) 586-5147 · 24-HR inspection Line: (503) 588-7904 <br /> <br /> HECH~NtCAL <br />DATE/TINE : 12/05/75 14=27 PER~IT NO : 95-18118 <br />TYPE : Resident. additio~/al~erationl STATUS : ISSUED <br />OCCUPAWCY : R-~ : ISSUED : 12/85/1975 <br /> I TO EXPIRE : ~6/~2/1996 <br /> <br />WIIRK DESC ~ ~AS FURN <br /> <br />2F, 35'? I..I~[~i-.!WAY 99E HE, AR <br /> <br />A]iRPORT Rt~ <br /> <br />[:iCTIUEI,I]:I't[~,~ :£VAN F' & LYNNE H <br /> <br />APPLICANT <br />NAME : WOLF"'ER$ ti,lC <br />ADDRESS : 290 Y~)ll]'it~ ST <br /> <br /> WOODBURI,I,~ <br /> t-H~NE. : 98I~-451:L <br /> <br />CONTRACTOR <br /> PHONE : 98',[,-,4511 <br /> <br />CITY: MARION tX' N'['Y <br /> <br />LOCATOR: <br /> ZONE: EFU <br /> <br />OCCB: <br /> <br />[h:i'[:s Descr ip'kiorl , ' F'ee <br />......... ~F ................... ~iTg~'""T~T ............................ ----- ............................................................................... ~:T)':"~T~ <br /> J. Forced aJr~ ],~,~0~ BTU & less 6,,~ <br /> Gas Ol,~t :l. ei:s <br /> <br /> A~:~esse(~ f'ees : 18.B~ <br /> <br />TH~S PERMIT IS NON-TRANSFERABLE' AN~ EXpIRE~ 188 DAYS FROH ISSUE DATE IF WORK HAS <br />NOT COflMENCED= OR IF COHSTRUCTIOfl CEASES .EOR A PERIOD OF 18B DAYS. OR IF WORK <br />FALLS TO HEET ALL REQUIrEmENTS OF STATE LAOS AHQ ~ARION CQUHTY ORDINANCES. UPON <br />WRITTEN REQOEST, ONE SlX (6) MONTH EXTENSION HAY BE GRAHTED. <br /> <br />RTf'4,1h~'URE 0F' APPL):CANT~ .............. , ............. ZL_ ....................................... <br /> <br />DflHAi/? E W[OI)LE.I~ MARION:C(}UN'TY BU:[LDING OEFIC:[AL / BY CLY~CH <br /> <br /> <br />