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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 152 · Salem, Oregon 97301-3670 <br />Office Houre: 8:00-4:~0 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> I~UTHORi'ZATZDM/NAJOR REPAIR PERNIT <br />~TE/T]rE · ~/11/~ 14;44 ~H~T <br />TY~ = ~ <br />0CC~Y ,: R-3 i I~1~7 <br /> TO E~[~ = ~4/11/1~98 <br /> 1 <br /> <br />~0~ ~ESC ; AUTH-F~EL~ V~SIT- 3/12 - CHG APP T0 <br /> 12364 WEST STAYTON RD SE BT <br /> <br />SUBDIVISION <br /> <br />CROSS STREET <br /> <br />PARCEl NUMBER <br />PARCEL SIZE <br /> <br />OWNER <br /> <br />AUTH AGENT <br />ADDRESS <br /> <br /> PHONE <br /> <br />DEQ INSTALLER <br /> <br /> PHONE <br /> uni q <br /> <br /> 1 <br /> <br />: STAYTON RB <br /> <br />: 75710-12B <br />: .7AC <br /> <br /> LOT: BLOCK: <br /> <br />PROPERTY LOCATOR: 091W18C BO1BB <br /> ZONE: EFU <br /> <br />: THOMPSON, CURTIS D & MONA JO <br /> <br />~ THOMPSON, CURTIS & MONA <br />· 123&4,W. STAYTON RB <br /> STAYTON OR <br /> 77~85 <br />: 769-785J <br /> <br />: DEQ LICENSE: <br /> <br />: 769-7853 <br /> <br />Description, <br /> Major Eepair <br /> Authorization w/Field Visit <br /> BEQ Su?charge <br /> <br />Fee <br /> <br />217.00 <br />30.00 <br /> <br /> Assessed fees 247.~0 <br /> Adjustments .00 <br /> To al fees 247.00 <br />PAYEE: THOMPSON, CURTIS & MONA Total payments: 247.00 <br /> ~alance due'· <br /> <br />?~EN~HIT IS NOH-TRN~SFERABLE ~ EXPIRES 365 ]N~YS FR~ I~UE I~iTE IF MORK H~S NOT <br /> D OR IF IJGRK FAILS TO flEET N.L REQUIRERENTS 0F I~Ti~TE LMIS N~D tl~RIOg COUHTY <br />ORDINN(CEg. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E WOO~EY,' MARION COUNTY BUILDING OFFICIAL / DY PMUHRO <br /> <br /> <br />