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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/TINE : 64/~8/97 14:59 ACTIVITY NO 97-62477 <br />TYPE : SP STATUS APPLIED <br />OCCUPANCY = R-3 SE APPLIED 64/88/1997 <br />PAGE : I SP APPLIED ~4/08/1997 <br /> TO EXPIRE 16/65/1997 <br /> <br />WORK DESC : STD FOR 3/BED NEW DWELL <br /> <br />EXIST BEDROOMS: PROPOSED BEDROOMS : 3 <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 11895 NOBLE I.N SE AM <br /> <br />SUBDIVISION <br /> <br />CROSS STREET <br /> <br />PARCEL NUMBER <br />PARCEl. SIZE <br /> <br />I'HE RANCH LOT: <br /> <br />STEINKAMP RD SE/BARBARA LN/EVIE (PARCEL ~2) <br /> <br />74110-170 <br /> 1.90 AC <br /> <br />7 BLOCK: 4 <br /> <br />OWNER <br /> ADDRESS <br /> <br />: CROWLEY,BEN <br /> <br />PHONE <br /> <br />: 769-4738 <br /> <br />AUTH AGENT : <br /> ADDRESS : <br /> <br /> PHONE <br /> <br />DI?Q INSTALLER <br /> <br /> PHONE <br /> <br /> 8nits <br /> 1 <br /> 1 <br /> <br /> LARRY EMERY BUILDING CONTRACTOR <br /> 1265 DOUGLAS AVE <br /> STAYTON <br />OR 97383 <br />769-6154 <br /> <br />DEQ LICENSE: <br /> <br />Description <br /> Construction Permi~ <br /> DEQ Surcharge <br /> <br />Fee <br /> <br /> Assessed fees : 382.80 <br /> Ad~ustments : .08 <br /> Total fees : 38~.80 <br /> PAYEE: lARRY EMERY BUILDING CONTRACTOR Total pax~e~ts: 382.88 <br /> Balance ~ue : .80 <br /> <br /> THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE <br /> SOIL, FEASABILZTY AND INSTALLATION REQUIREMENTS ARE CHECKED PRIOR TO THE ISSUANCE <br /> OF A PERNIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br /> NECESSARY INFORNATION IS PROVIDED./'~8 SOON/,Si~JJ.I,,.$~OUIREMENTS OF THE REVIEW <br /> HAVE BEEN HET, YOU .IL~ RE NOT~_.,~ _ F~.~.~,~..~ <br /> SICNATUI~E OF APPLICANT. //~ e.~.~,,~-~.,~ q~)~..~~''~ <br /> <br /> ~NA[~) E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY H~ULL <br /> <br />................ FOR OFFICE USE ONLY. THIS IS HOT a PERMIT .................. <br /> MaP: 48 ZONE: AR PROPERTY LO~TOR: eazw28C B35ee <br /> SEPTIC REVIEW: OATE= ZONING REVIEW: DATE: <br /> <br /> <br />