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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Churoh Btre~t NE · Room 132 · Salem, Oregon 97801-3870 <br />Office Houre: 8:00-4:30 · Phone: (508) M8-3147 · 24-HR Inepm~tlon Line: (EIB) 378-4437 <br /> <br /> ON-SITE APPLICATION <br />DATE/TINE : ~5/~7/96 15:36 ACTIVITY NO : 96-03143 <br />TYPE : SP STATUS : APPLIED <br />OCCUPANCY : R-3 APPLIED : <br /> TO EXPIRE : 11/03/1996 <br /> PAgE <br /> <br />WORK DESC : MAJOR REPAIR <br /> <br />EX~ST BEDROP' " _ · <br /> ~MS. 2 PROPOSED BEDROOMS ' <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: <br /> <br />SITE ADORESS : CITY: MARION COUNTY <br /> 9358 S]LYER FALLS NY SE AM <br /> <br />SUODI¥ISION : <br /> <br />CROSS STREFT : HOWELL PRAIRIE <br /> <br />PARCEL NUMBER : 74518--808 <br /> <br />PARCEL SIZE : .OAC <br /> <br />OWNER <br /> NAME <br /> AODRESS <br /> <br />JOHNSON, JUDITH JO <br />2158 MAPLEWOOD OR <br />SALEM, OR <br /> <br />PHONE : 370-3707 <br /> <br />ACPI_ICANT <br /> NAME <br /> AQORESS <br /> <br />: JOHNSON,, JUI)ITH ~0 <br /> 2150 MAPLEWO01) OR <br /> SALEM, OR <br /> <br />PHONE : 370-3707 <br /> <br />LOT: BLOCK: <br /> <br />97306 <br /> <br />97306 <br /> <br />.OEO CONTRACTOR: JOHNSON, JUDIFH ,.JO DEQ LICENSE: <br /> / AGENT : JOHNSON, JUDITH JO OCCB: <br /> PHONE : 370-~787 <br /> <br />LIMits I)e.scrip~ion.., Fee <br />I Maj~)r Repair £00~t50 <br />1 DEQ Surcharge 38.08 <br /> <br /> Assessed fees : 210.00 <br /> AdjustMents : .00 <br /> Total fees : 218.08 <br />PAYEE: JOHNSON, JUPlTH JO Total Paxments: 218.08 <br /> Balance due : .08 <br /> <br />THIS IS NOT A PERNIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE <br />SOIL, FEA.~BILITY AND INSTALLATION REQUIREHENTS ARE CHECKED PRIOR TO THE ISSUANCE <br />OF A PERHIT. IT IS THE RE'~'~ONSIBILITY O~ TH~"~APPLICANT TO ASSURE THAT ALL <br />NECESSARY INFORHATION IS/PROVIDED. AS S(~N ~S~LL RE~UIREHENTS OF THE REVIEW <br />HAVE BEEN NET, YOU WILL pE NpTIFIED~ ///~X,. ~ _~// <br /> <br />***********************__********************************** <br />DONALD E. WRPI)LEY, MAR~N~IA~'/ BY MBtJL. L <br /> <br />MAP: <br /> <br />· FOR OFFICE USE ONLY. THIS IS NOT A PERMIT ........... <br /> ZONE: CR '. PROPERTY LOCATOR: 082W13DA01000 <br /> <br />SEPTIC REVIEW: DATE: ZONING REVIEW: DATE: <br /> <br /> <br />