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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 /> ON-STTF APP[TCATTON <br />DATE/TTHE : ~3/1~/77 13:43 ACTIVITY NO : 97-61577 <br />TYPE : SP STATUS : APPLIED <br />OCCUPANCY : R-3 SE APPLIED : ~3/16/1777 <br />PAGE : ] SP ~PPLIED : ~3/1B/1997 <br /> TO EXPIRE : ~9/B~/1997 <br /> <br />W~R~ OESC : MINOR REPAIR/REPLACE TANK <br /> <br />FX]~l ~FI)R~I[IHS: 9~ PROPOS~) BF~)ROOHS : 99 <br />FXTSI' EHPIDYEE: 999 PROPO~EQ EMPI.DYFES: 999 <br /> <br />S)']F ADI)RFFiS : CITY: MARION COUNTY <br /> 115:~6 HCCLEI,J.AN LN SE AM <br /> <br />SlIP, Ill VT,q] 01,1 <br /> <br />b'ROSS STRKET : WEST ,~I'AYI'Ofl <br /> <br />!:,'ARCFI NUNBI:R : 75448-.22~ <br /> PARCEl,, SIZE : ~5888.~ SF <br /> <br />LOT: BLOCK: <br /> <br />OWNER <br /> AOORESS <br /> <br />.M:ILEY~ETHFt F <br />A[IMSV:I L[ F,; OR <br /> <br />PHONE ,' 749-7797 <br /> <br />AIIIH AfiFN'r : SH)'I, FY~ EHTF[ <br /> Al) I) NF...~8 <br /> <br />QEQ LICENSE: 37476 <br /> <br /> Fee <br /> <br /> A~ses~ed 'Fees : 130.60 <br /> Adjustments : .66 <br /> Tot~] fe~s : 136.60 <br /> PAYEE: SHILEY, FHTEI. Total paxments: 130.00 <br /> B~]ance ~ue : .60 <br /> <br /> THIS IS HOT A PERNIT. THIS APPLICATION NUST GO THROUGH A REVIEW PROCESS WHERE <br /> S~TL~ FEASABILITY AND IHSTALLATION REOUIRENENTS ARE CHECKED PRIOR TO THE ISSUANCE <br /> OF A PERHIT. IT IS THE RFSPONSIBILITY OF *T~E APPLICANT TO ASSURE THAT ALL <br /> HECESSARY INF~RNATION IS PROVIDED. AS SOOH AS ALL REGUIREHEHTS OF THE REVIEN <br /> HAVF RFFN HFT, YOU .ILL P.~N~TIF'~FII,.~z.7~..L_.// 0 ' <br /> <br /> ])iINAI,[) [:. WI')OOI:.EY~ MAREOfl COUN[Y BIJTI.OTNG OFFICIAL / BY F'MUNRO (~1/~ <br />................ FOR OFFTCE U~F ONLY. THTS IS NOT A PERHZT .......... ~-- <br /> HAP: 62 ZONE: AR PROPERTY LO~TOR: 892M13DA6186~ <br /> SFPT]C RFVTE~: PATE: 7OHI~ REVIEW: DATE: <br /> <br /> <br />