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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> · 85 Church Street NE * Room 132 · Salem, Oregon 97301-3670 <br />Omce Hours: 8:'00-4:~0, Phone: (503) 588-~147 - 24-HR Ins~fion Line: (SO3) 588-7904 <br /> <br />ON-SIT~ APPLTCAT~ON <br /> <br />%~242 OLHSTEAD RD NE ~ <br /> <br />%?'I~ORK I)Egc. ' <br /> <br />648-9119 <br /> <br />AUTH/FLD RPLC 2~R HH WZTH 3 l~ HCIUgE <br /> <br />STATUS = APPLZED <br />APpLIEO = 68/22/1995 <br /> <br />TO EXPIRE : ~2/18/19~6 <br />PAgE ~ <br /> <br />LoT= BLOCK; <br /> <br />L/CEHSE: <br /> <br />Fee <br /> <br /> AsseSSed fees <br /> AdSuetaen~s <br /> Total fees <br /> Total payaentel <br /> <br /> ..... Balance due <br />................ FOR OFFICE USE gNLY. THI$~IS NOT ~ PER~IT <br /> <br />252.~0 <br />252. ee <br /> <br />.08 <br /> <br />PROPERTY LI:ICATGR= ~41M19~ ~9799 <br /> <br /> <br />