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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 Houre: 8:00-4:30 · Phons: (503) 588-5147 * 24-HR Inspection Line: (503) 373-4427 <br /> <br />DATE/TINE : S?/12/96 13:34 ~PERNIT NO : 96-86249 <br />TYPE : SP STATUS = ISSUED <br />OCCUPANCY : R-3 ISSUED : S9/12/1976 <br /> TO EXPIRE = 87/12/1797 <br /> P~GE 1 <br /> <br />WORK DESC : SS:STD W/CURTAIN DRAIN IJPSLOPE <br /> <br />SITE AQDRESS : CITY: MARION COUNTY 6685 HAYS LN SE AM <br /> <br />SUBDIVISION : LOT: BLOCK: <br />CROSS STREET : DROWNELL RD NEAR SHAW HIGHWAY <br /> <br />PARCEL NUMBER : 56102-800 PROPERTY LOCATOR: 081W19C 00600 <br /> PARCEL SIZE : 3.0AC ZONE: AR <br />OWNER : FITZPATRICK, DARREL & DIANA <br /> <br />AUTH AGENT : F'ALMER GROSS CONSTRSCTION CO <br /> AODRESS : PO BOX 5005 <br /> <br /> SALEM, OR 97304 <br /> PNONE : 581-3760 <br /> <br />DEQ INS'tALLER : <br /> <br />LICENSE: <br /> <br />PHONE : 581-3760 <br /> <br />INITIAL SYSTEM: STANDARD <br />REPLACEMENT SYSTEM: STANOARD <br /> <br />Units Description Fee <br />I Construction PerMit 352~0~ <br />1 DEQ Surcharge 30.00 <br /> <br /> Assessed fees : 382.80 <br /> Adj~mtments : .00 <br /> Total fees : 382.88 <br /> Total payl,~ents: 382.08 <br /> PAYEE: PALMER GROSS CONSTRUCTION CO Ba]a))c~ dt~ : .00 <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES ~65 DAYS FROM ISSUE DATE IF ~ORK HAS HOT <br />COHHEHCED OR IF WORK FAILS TO MEET ALL REQUIREHEHTS OF STATE LAWS AND MARION COUNTY <br />ORDIHAHCES. <br /> <br /> 8IGNA'IURE Oi~ APPLICANT: <br /> <br /> DONALD E WOODLEY~ MARION COUNTY BI!II. DING OF'~!C)TAL / BY DFREILt~--~ <br /> <br /> <br />