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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-SITE APPLICATION <br />DATE/TTHE : ~4/~4/97 I~=IB ACTIVITY NO : 77-~2~17 <br />TYPE = SESP STATUS : APPLIED <br />OCCUPAHCY = R-3 SE APPLIED : ~4/~4/1997 <br />PAGE : ! SP APPLIED = ~4/~4/1997 <br /> TO EXPIRE : ~/8~/~997 <br /> <br />WORK DESC : SE: SS FOR FUTURE DWFLL. ING SITE ADH 97-011 <br /> <br />EXIST BEDROOMS: PROPOSED BEDROOMS : 4 <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: <br /> <br />SITE ADDRESS <br /> <br />..8,ff~'/-SILVER FALLS HY SF AM <br /> <br />CITY: MARION COUNTY <br /> <br />SUBDIVISION : LOT: BLOCK: <br /> <br />CROSS STREET : 82ND AV <br /> <br />PARCEL. NUMBER : 57268-880 <br /> PARCEL, SI7E : 299.88 AC <br /> <br />OWNER : FRANK LUMBER CO <br /> ADDRESS : PO BOX 1467 <br /> MILt. CITY, OR <br /> <br />PHONE : 749-2417 <br /> <br />A[ITH AGENT : <br /> ADBR.SS : <br /> <br />PHONE : <br /> <br />DEQ INSTALLER : <br /> <br />PHONE : <br /> <br />BETHELL, JIM CONSTRUCTION <br />,LAMES BETHE!.L <br />6091WALINA CT SE <br />SALEM OR 97~01 <br />(503) 749-2417 <br /> <br />BETHELL~ ,JIM CONSTRUCTION <br />(503) 749-2417 <br /> <br />OEO LICENSE: 35811 <br /> <br />Units Description Fee <br />1 ~te evaluate, on 290.~0 <br />1 Construction Permit 352.08 <br />2 DFQ Surcharge 68.00 <br /> <br /> Assessed fees 782.08 <br /> Adjustments .00 <br /> Total fees 702.88 <br /> PAYEE: BETHELL~ JIM CONSTRUCTION Total payments: 782.08 <br /> Balance due <br /> <br /> THIS IS NOT A PERHIT. THIS APPLICATIOH MUST ~0 THROUGH A REVIEN PROCESS ~HERE <br /> SO~L, FE&SADILITY AND INSTALLATION REOUIREHENT5 N~E CHECKED PRIOR TO THE ISSUANCE <br /> OF A PERNIT. IT IS THE RESPOHSIBILITY OF THE RPPI. IC/tNT TO ASSURE THAT N-L <br /> NECESSARY INFORY~TIOH IS PROVIDED. AS SOON AS ALL REQUIREHENTS OF THE REVIEg <br /> HAVE BEEN NET~ YOU NILL DE NOTIFIED. <br /> SIGNATURE OF APPLICANT: <br /> <br /> DOIqA[D E, WOODLEY~ HARION COUNTY BUILDING OFFICIAL / BY CI-YNCH <br /> <br />............... FOR OFFICE USE ONLY. THIS IS NOT A PERNIT .................. <br /> II~P= 49R ZONE= EFU PROPERTY LOC&TOR= ~8~#14 <br /> <br /> SEPTIC REVIE#= DATE= ZONING REVIEI~= DATE: <br /> <br /> <br />