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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 /> HFCHAHICN PFRHIT <br />I~TE/T~NE = 62/S~/97 ~8~8 PERNIT NO : 77-~B648 <br />TYPF = Resident. eddition/slteration STATUS = ISSUED <br />~CCUPA#CY : R-3 ISSUED = B2/e3/1977 <br />PAGE : 1 TO EXPIRE ~ ~8/S2/1997 <br />W~RK ~F;~ ..... ~-~F[-RF;TF~ ..................................................... <br /> <br />397 5TH ST AM <br /> <br />,R~IS,~ STRFET : I)ELMAR <br /> <br />CITY: AUMSVILLE <br /> <br />PARCEl NH~HER : 9~098-86~ IOCATOR: 882W25DA04380 <br /> ZONE: RS <br /> <br />OWNFR NAMF <br /> <br />EVFRGRFFN PROPFRTTFS <br /> <br />GAG[F ENTFRPRTSF'8 )NC <br />2789 PRI NGI.E RD SE <br /> <br />AF'PI T CANI' <br /> NAME : <br /> ADOR .SS · <br /> <br /> SAI, EM~ OR 97~? <br />PHONE : 581-2972 <br /> <br />(.6NTRACTOR : GA~[ E ENTFRPRISFS INC ]CCB: 0061330 <br /> PHONE : 581-~972 <br /> <br />liners ~p;criptio~ Fee <br />--~' ' Base fe~ -----i1~-(~' <br />~ Wa]] heaters 6.88 <br />I State surcharge .88 <br />~ R~fL~nd .00 <br /> <br /> Assessed fees 16.80 <br /> Adjustments .00 <br /> Total f~es 16.88 <br />PAYFF: gA~IF ENTFRPR~SFS ~NC Total payments: 1~.80 <br /> Balanc~ due : .80 <br /> <br />THIS PERi'lIT IS NON-TRANSFERA~ILE AND EXP;RES 1Sm DAYS FRON I~UE DATE IF #ORK HAS <br /> <br /> CS TO HEET ~L R~IR;~S OF STATE ~WS AMD HARI~ ~TY ORDINANCES. UPON <br />~XTTEN RF~ST~ ~E STX (A) ~NTH EXT~SI~ HAY BE <br /> <br />SIGNATURE OF APPLICAHT: <br /> <br />D~NAI.D ~ WOODLEY~ HARTDH COUNTY BUILDTNG ~FFICTAI_ / BY HBULL <br /> <br /> <br />