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MARION COUNTY BUILDING INSPECTION <br /> COMMUNrrY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 * Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br />DATE/TTHE <br />TYPE <br /> <br /> EVAi.!JATIQN OF HAR1)SHTP HI1B[LE I'N~HE <br />: ~5/8~/?~ 18:23 PERHIT NO <br />= ~P STATUS = ISSUED <br />= R-3 ISSUED = gS/g6/l~& <br /> TO EXPIRE <br /> PAGE 1 <br /> <br />WilRK DF'SC <br /> <br />:NFW MD:5 YR EVA[UATION-TFMP HARDSHIP <br /> 6898 SHFRMAN <br /> <br />[':ROS~ STREFT : ,!AMF~ WY SE <br /> <br />PARCEl. NUMBER <br /> PARCFI STTF : 4~56~0.0~F <br /> <br />OWNER NAME <br /> <br />APPE~CANT <br /> NAME <br /> ADDRFSS <br /> <br /> PHONF <br /> <br />CONTRACTOR/ <br /> A~.F'NT <br /> <br />CITY: MARION COLJNTY <br /> <br />LOT: BLOCK: <br /> <br />F'Rr)PF.'RTY I.OCATOR: 881W21 <br /> ZONE: EFU <br /> <br />: BOEDIGHE'[MER, MEI.V'[N G & OTETZ, E <br /> <br />: BOEOE CONSTRUCTION INC <br />: 6{~9R SHFRMAN RD <br /> <br /> AIIMSVII.I.E, fir 97~ .,~ <br />: 749-208,~ <br /> <br />: BOEDE CONSTRUCTION INC <br />: ~{1FDF CONSTRIICTION <br /> <br />Ft~e <br /> <br />~0.80 <br /> <br /> Assessed fees : 183.00 <br /> Ad justelents : .00 <br /> Tote]. fees : 183.88 <br />PAYEE: BOEDE CONSTRIJCTION '[NC Total payments: 247.08 <br /> Balance due : -~4.88 <br /> <br />THTS NOTICE 1~ NON-TR~SFERA~.E AND EXPIRES 3~5 ~YS FROH ISSUE DATE. <br /> <br />SIGNATIRE OF APPLIgANT: <br /> <br /> ~ E. WOOQLEY, MARION COUNTY BIIILDING OFFICiSAL / BY DFREILIN~ <br />I}ONA <br /> <br /> <br />