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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Houra: $:00-4:30 · Phone: (503) 586-5147 * 24-HR Inspection Line: (503) 373-4427 <br /> <br />03/22/'1997 <br /> <br />CROSS STRFFT = <br /> <br />EHIFN TO iIARRI FR LN NE <br /> <br />PARCEl. HIINAER = 7t551-.'T71 <br /> PARCEL B)'TF ~ .~IAC <br /> <br />OWNER NANE : GREEN~ .JOE <br /> <br />APPtICANT <br /> <br /> A~BRF$~ : <br /> <br />GREEN..J~E <br />P 0 BOX 759 <br /> <br />Pt~NE : 5~3-685-7685 <br /> <br />CONTRACTOR/ <br /> AGENT <br />PHONF <br />INSTAI.I~R <br /> PHONF <br /> <br />972~7 <br /> <br />.IOF GREFN INVFSTHFNT CO <br /> <br />685-96R5 <br /> <br />PRflPF, RTY I.flCATOR: 931W33CB~629B <br /> 70HE: AR <br /> <br />OCCB= 9957652 <br /> <br />HI) LICENSE= <br /> <br />!l,nit~ Be~rript~on Fee <br /> Nanufactured d~eTting Tee 24b,~B <br /> ~ g~ate surcharge 12.25 <br /> t ~tate adeint~rative fee 20,09 <br /> <br /> Assessed fees : 297.25 <br /> Adjustments : <br /> To~al fees ~ 297.25 <br />PAYFF= GRFFN, JOE Tote! paxeents~ 297.25 <br /> Aalance due <br /> <br />THIS PFJ~TT IS ll0N-TRANgFER~LE ~1~ EXPIRES 180 ~Y~ FROH ISSUE DATE IF iIORK <br />HA~ I~T COIti4E14C~. OR IF CIX4BTRUCTION CEP, SE*S FOR & PERIOI' OF lot lAYS. OR IF <br />CQ~TRUCTION FilLS TI) IfEET N.L RE~UIREHENT~*~OF STATE L4M~ .4N~ HARION COUNTY <br />ORI~INNJCES. UPON YRITTEN REOUEST~ (~F SIX ltONTH EXTENSION. HAY RE GRN~TE~. <br /> <br />~TGNATtJRE OF APPLTCANT~ <br /> <br />OONAl. O E WOOBLEY~ NARTON COUNTY BUTI. OTNG ~FFICTAL / BY NBULL <br /> <br /> <br />