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i~TE/TIHE <br />TYPE <br />OCCUPi~ICY <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> DEVELOPMENT CENTER <br /> <br /> 285 ~;~,.~;~~ · ...... ~._~ =~01-~670 - . <br />Office Hours: 8:M: .~ M M~.,~ ~~ Line: (503) 588-7904 <br /> <br />· . ~3/2~/96 12:48 <br />: SP <br />= R-3 <br /> <br />OH-SITE APPLICATION <br /> <br />i~CTTVITY NO 96-~1799 <br />STATUS ~' APPLIED <br />~IED -' <br />TO.EXPIRE : I~9/16/1976 <br />PAGE <br /> <br />WORK DESC = AUTH/PF 3/4/96 REPLACING 3BED @ 3BED <br /> <br />EXIST BEDROOMS: 3 PROPOSED BEDROOMS : 3 <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: <br />SITE ADDRESS : <br /> 7276 SHERMAN RD SE AM <br /> <br />CITY: MARION COUNTY <br /> <br />SUBDIVISION : <br /> <br />CROSS STREET : DITTER DR SE <br /> <br />PARCEL NUMBER: 56266-7~.~~ <br /> PARCEL SIZE : AC <br /> <br />OWNER <br /> NAME <br /> ADDRESS <br /> <br />: BARTOSZ.DANNY <br />.: 7276 SHERMAN RD SE <br /> AUHSVILLE, OR <br /> <br />PHONE : 749-1442 <br /> <br />97325 <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />: B~RTOSZ.DANNY <br />: 7276 SHERMAN RD SE <br /> AUMSVILLE, OR <br /> <br />PHONE : 749-1442 <br /> <br />97325 <br /> <br />DEQ CONTRACTOR: BARTOSZ,DANNY. <br /> / AGENT BARTOSZ.DANNY <br /> PHONE ~ 749-1442 <br /> <br />LOT: <br /> <br />BLOCK: <br /> <br />DEQ LICENSE: <br /> OCCB: 0014865 <br /> <br />Units Description , Fee <br />1 Authorization'w/~'i~'ld Visit 2.171~B <br />1 DEQ Surcharge 30.00 <br /> <br /> Assessed fees 247.0~ <br /> Ad3ustments ~ .00 <br /> Total fees : 247.00 <br /> PAYEE: BARTOSZ, DANNY Total pa.y?ents[ 247.00 <br /> Balance due . ,00 <br /> <br /> THIS IS HOT A PERHIT. THIS <br /> SOI APPLICATIOH HUST 'gO THROUGH A REVIEW PROCESS I~IERE <br /> L, ~i~_._~ABILITY ~HD II~T~d_LATION REGUIREi~S ~RE CHECEED PRIOR TO THE ISSUAHCE <br />'HE~_A _PE£RHIHiT. IT IS THE RESPOHSIBILITY OF THE-APPLICANT TO ASSURE THAT ALL <br /> <br /> DONALD E. WOODLEY, MARION COUNTY BUILDIN6 OFFICIAL / BY MBULL <br /> · FOR OFFICE USE O~LY. THIS IS HOT A pERNIT ................... <br /> NAP:' <br /> 40 <br /> ZONE: EF~ PRDPERTY LOC~TOR.~- 881W28 B~00 <br /> <br /> SEPTIC REVIEW: DATE: ZOHIN~ REVIEW: DATE: <br /> <br /> <br />