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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301e3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> ON-SITE APPLICATION <br />DATE/TIHE : a6/~7/76 ~6:33 ACTIVITY NO <br />TYPE r SP STATUS : APPLIED <br />DCCUPANCY : R-~ SE APPLIED <br />PAGE = I SP APPLIED : ~6/17/1996 <br /> TO EXPIRE : 12/11~?& <br /> <br />WORK DESC : <br /> <br />['.Xl$1 BEDROOMS: <br />EX[ST EMPLOYEE: <br /> <br />SITE A~RF~S ~ <br /> <br />~.$5 4TH ST O'T <br /> <br />CITY'~ ~)E'TROI '! <br /> <br />SURDIV1ST[1W PA'I'fi]N A))DTTION <br /> <br />CROSS STREET : <br /> <br />PAfd':~i NUH~bR :: 9~25~-47~ <br /> <br />OWNER <br /> NA~4E <br /> $~llRI- tis <br /> <br />: HANCOCK,BERT <br />: 1.~145 LEXINGTON CR SF <br /> SALFN, OR <br /> <br />PHONE : 371-4191 <br /> <br />APPLICANT <br /> HAME <br /> ~l)t I:.,. S <br /> <br />: HANL]i,IM,~ERT <br />.~ ]84, I. EXIN~fON CR SE <br /> S ' <br /> . AL~.M, r)R <br /> <br />97306 <br /> <br />97306 <br /> <br />LO'f: a BLOCK: <br /> <br /> Assessed 'tees : 247.00 <br /> Adjust'mmTts ; .00 <br /> Total fees : 247.88 <br /> ., r. HAN!,OI4MBERT Total payments: ,00 <br /> Balanco ~ue · 247.08 <br />************************************************************************************ <br /> <br />THiS IS NOT A PERHIT. THIS APPLICATION HUST ~ TNROU~H A ~EVIEW PROCESS WHERE <br />SOIL, FEASABILITY AND IHSTALLATION REQUIREHENTS ARE CHECKED PRIOR TO THE ISSUANCE <br />OF A PERHIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />~ECESSARY IHFORHATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW <br />NAVE BEEH HET, YOU WILL BE NOTIFIED. <br /> <br />~';I~NATURE OF APPL?CANT: <br /> <br />00~:¢i0 -. WOODI.EY, MARION COUNTY BIIILD'[NG [IFFIC(AL / ~Y PMLINRO <br /> <br /> OFFICE USE ONLY. THIS IS NOT A PERHIT <br />HAP: 185 ZONE: RS PROPERTY LOCATOR: <br /> EPTIC REVIEW: DATE= ZONING REVIEW: DATE= <br /> <br /> <br />