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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 Inepe~tloo Line: (503) 373-4427 <br /> <br />CROSS 8TRFFT : ARNDT RD NF <br /> <br />PARCF. NIJNBER : <br />: .25 AC <br /> <br />PARCF[ SI7F <br />flWNFR NAME <br /> <br />APPLICANT <br /> NANE <br /> ADDRFSR <br /> <br />: SIMMONS, DAN <br /> <br />SIMMONS,DAN <br />23731 MEADOW DR NF <br />AURORA,OR <br /> <br />PHONE : 583-478-249t <br /> <br />CONTRACTOR/ <br />AGENT : SIMMONS,DAN <br />PH0flE <br /> <br />BUll.DING .SO FT: <br /> <br />978~? <br /> <br />tln~ ts Descri ~tion <br /> <br /> Plan ~evie~ Fee <br /> I .~tate surcharge <br /> 7one surcharge <br /> <br />PROPFRTY LOCATOR: 831W33CC84888 <br /> ZONE: AR <br /> <br />~CCB: <br /> <br />HEIGHT: 11 <br /> <br /> Fee <br /> <br />18.28 <br /> 1.48 <br /> 1.48 <br /> <br /> Assessed fees : 49.88 <br /> AdjustMents : .88 <br /> Total fees : 49.88 <br />PAYFF: SIMMONSvDAN Total payments: 49.88 <br /> Balance due: .88 <br /> <br />THIS PERNIT IS HON-TRANSFER~LE ~ EXPIRES 1~ ~YS FROIt ISSUED ~TE IF M~K <br />FATL~ TO ~ ~ ~;~TS ~. ~ATE ~ AND ~RZ~ ~TY O~X~CES. UP~ <br />al~ E~, ~ SIX 8~I~ ~I E ~NTED. <br /> <br />BIGNATHRE OF APPLICANT: ................................... <br /> <br />DONALD E WOOOLEY, MARION COUNTY BUILDING OFFICIAL / BY MBULL <br /> <br /> <br />