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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 /> F.I FCTR[CAL F~RHIT <br /> <br />TY~ = C~rcial addit{on/atterati~n ST~T~ ; ISSUE~ <br /> <br /> TO EXPI~ = ~/24/1~7 <br />W~RK ~FSC = ~1 ~C SVC FOR ~HH CA,THaT <br />SZTF APDRFS~ : CITY: MARION COUNTY <br /> 24~57 KI.IIPENG~R R~ NE AR <br /> <br />CROS9 STRFFT : ARDNT RD NORTH TO FND OF KtIIPFNGFR UN 24345 PROPERTY LOC <br /> <br />PARI~,EI. NIIMBER : 400S8-0~0 <br /> <br />{1WNFR NAMF : P T ~ CONMUN~CATTON <br /> <br />APPI.TCANT <br />NAMF <br /> <br />PHONF <br /> <br />T COMNIINTCATTON <br />BOX 99~1 <br />VANCOtlVFR, WA 98668-898] <br />A~NT: I.ARRY KR[BS <br /> <br />CONTRACTOR <br />PHONF <br /> <br />= KEHA~Y C,AREHCF L <br /> <br />OCC~: 0e42~4'7 <br /> <br />FI.ECTRTCTAN ~ TOO KENAGY PHONE ~ <br /> <br />CONTRACTOR LICENSE= 3-168C <br /> <br />~IIPV FI.FC <br />PHONF <br /> <br />: KFNAGY C.ARFNgF I, <br />: KFNAGY CIARFNgF [ <br /> <br />SUPFRVI.~OR LICENSE: 2915S <br /> <br />IJn~ O~crtptton Fee <br />] SP~vlce/fe~dPr~ up to ~ a~p~ ~ <br />t State ~urcharge 2.5~ <br />J R~f~nd .00 <br /> <br /> Assessed fees : 52.50 <br /> Adj,stments : .00 <br /> Total fees : 52.50 <br />PAYFF: P T I COMMUNICAT]*ON T~ta] pay~ents: 52.58 <br /> Balance due : .0~ <br /> <br />TH~S PERH~T ~9 NON-TRN~JFERABLE AN~ EXPIRES 1R~ DAYS FROH ISSUE ~TE IF ~ORK HA8 <br />NOT C[MIIFNCFD, OR IF C(INSTRUCTION CF~£SI FOR A PFRIO~ OF IB~ D~YS. OR IF WORt( <br />F~[I.~ TO NEET N.I. REQU[RENENT$ OF STATE .~#S AHO I~e~ION COUNTY ORDINANCES. UPON <br />iJR~TTFN RFD{~ST, OHF STX HOHTH EXTENSION I~¥ BF GRANTED. <br /> <br />S~flATURE OF APPLTCANT: <br /> <br />D~NOAI.U £ W~O~L~Y~ HART~N ~OUNTY BUTL~TNBC OFFTCIAL / BY CLYNCH <br /> <br /> <br />