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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 Hours: 8:00-4:30 · Phone: (503) 588-5147 * 24-HR Inspection Line: (503) 373-4427 <br /> <br />~;ITE AQI)~ESS <br />CROS,~ ,~TRFF T <br /> <br />PARCEl. NUMBER <br />I1WNER NAHF <br /> <br />: 11S94 .SU.VKR FAI.I.S HY SE AM <br />~' CI O,~iF TO BRllCF PACKINS <br /> <br />." FIAM,MARIF A-TRIISTFF <br /> <br />APPI,ICANT <br />NAMF : ET;);) ,,lACK D <br />AODRKSS : 177~6 MT ANGEl, SCOTTS MII.I..~ <br /> <br /> ~'KVERTON, OR 97~1 <br /> PHONF : 87~-5~ J7 <br /> <br />CITY: MARION COUNTY <br /> <br />CONTRAfiTflR : Kl~ .lACK ~ <br /> PHONF : R7S-5~7 OCCB: 008549J <br /> <br />PLUMBER : <br />PHONE : LICENSE: <br /> <br /> Deso"b)tion Fee <br /> <br /> ~ Rt~t~ ~urch~rg~ 5.50 <br /> l Rmfund .00 <br /> <br /> A~ses~ed fees : 115.58 <br /> Adj~istM~nts : <br /> Total f~es : 115.50 <br />PAYEE: KIDD .JACK D Total pmxD~ents: 94.58 <br /> ~]~n¢:e ~ue : 21.00 <br />******************************************************************************* <br /> <br />THT~ ~; NllT A PFRH~T. IT IS THE RF.qPO#ST~TLITY OF THE APPLICANT TO ASSURE <br />THAT AI.I. NECESSARY INFORHAT~QR X~ PROVlOED AHO FEES PAID BEFORE A PERHIT HAY <br /> <br />~;1];NATIIRE OF APPI.ICANT: <br />******************************************************************************* <br />1)I]NAI1) E. WOI]I)t.Ey, MARION CllIIWTY BI}'[U)IHG OFFIi'XAL / BY TTOHEY <br />...................................... FOR OFFICF USF ONLY ...................... <br /> <br /> I~AP: ZONE: EFt} PROPERTY I.r)CATOR: ~81W21 ~6~ <br /> <br /> PI AN RFV~FW~ PALE: 7ONIN(; RF*V]'FW: DATE: <br /> <br /> <br />