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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE * R~m 132 · Salem, Oregon 97301-3670 <br />Office HOURS: 8:00-4:3O * Phone; (503) 5aa-5147.24-HR Inspection Linc: (503) 588-7904 <br /> <br /> ON-SZTE APPLICATIOH <br />DATE/TIME : ~1~/29/95 12:a7 STATUS : APPLIED <br />PERM[~ NO : 95-15555 APPLIED : <br /> <br />OCCUPP~4CY = B-2 PAGE <br /> <br />SITE ADDRESS : CITY: HARIDN COUNTY <br /> 18335 BUTTEV~LLE RD RE AR <br /> <br />SU~DIViSIOM <br /> <br />CROSS STREET : ~ROAD~RE$ RD NE <br /> <br />PARCEL NUMBER <br /> PARCEL <br /> <br />NAME <br /> <br />: EI~ELL, RAYMOND S & SAND~A 'N <br /> HUBBARD= OR : <br /> <br />PHSNE : <br /> <br />LOT: 8LOCK= <br /> <br />APPLICANT <br /> <br />PHOHE <br /> <br />: ETHELL. SANgRA <br />: P 0 90X 41 <br /> HUBBARD, OREGOH <br /> <br />77B32 <br /> <br /> CONTRACTOR ETHELL. ~4~NDRA LICENSE: <br /> PHONE .~ <br /> <br /> ,UOR~ DEBC : AUTH/ALTR ADD TANK TO EXZST~NG <br /> Units Description , <br /> 1 ~uthorizatzon w/F~eld V~¢~'¥ <br /> 1 Au~h~izatio~/Alteration <br />· i Effluent Puap/SJphon <br /> t PEg Surcharge <br /> <br />25.60 <br />35.&0 <br /> <br /> DONALD E. NOODLET~', MARION COUNTY ~JILDING OFFiCIaL / BY <br />................ FOR OFFICE USE ONLY. <br /> <br /> Assessed fees: <br /> Adjustments <br /> Total fees : <br /> Tote! pa)qaents= <br />.... Ba,l,a~ce due = .... <br /> CLYNCH <br /> <br />MAP: 9 ZONE: EFu <br /> <br />4a8.$o <br /> <br />THZS ~S N~T A PERMIT .................. <br /> <br /> PROPERTY LOCATOR: ~42W~6 <br /> <br /> <br />