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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 265 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Hour~: 8:00-4:30 · Phone: (503) 588-5147 ° 24-HR Inspection Line: (503) 373-4427 <br /> <br /> MECHANICAL PERMIT <br />DATE/TINE : B4/15/77 15:14 PERMIT NO <br />TYPE : Resident. addition/alteration STATUS <br />OCCUPANCY : R-3 ISSUED <br />PAGE : I TO EXPIRE <br /> <br />97-B2656 <br />ISSUED <br />~4/15/1797 <br />18/12/1977 <br /> <br />SITE ADDRESS : <br /> <br />CITY. MARION COUNTY <br /> <br />10047 WEST STAYTON RD SE TR <br /> <br />CROSS STREFT : N/A <br /> <br />PARCEL NUMBER : 61274-000 <br /> <br />LOCAI'OR: 091W18C 02600 <br /> ZONE: EFU <br /> <br />OWNER NAME : FOLTZ.RANDAi.L I.. & KATHLEEN A <br /> <br />APPLICANT <br />NAME : MONTAG OF SALEM INC <br />ADDRESS : 101 UNION ST NE <br /> <br /> SAI,,EM~ OR 97,~01 <br />PHONE : <br /> <br />CONTRACTOR : MONTAG OF* SALEM :[NC OCCB: 0000531 <br /> F'HONE : 5R5-6396 <br /> <br />Units Descr iD !:ion Fee <br /> <br /> 1 Additional ~ppli~mes 7.50 <br /> 1 Gas outlets 2.~ <br /> 1 State surcharge .~8 <br /> ~ Re fu~d . ~ <br /> <br /> Assessed fees : 20.48 <br /> Adjustments : .00 <br /> Total fees : 20.48 <br />PAYEE: MONTAC OF SA[EM INC Total pax~ents: 20.48 <br /> Ba la~'~ce due : .00 <br />********************************************************************************** <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 18~ DAYS FROM ISSUE DATE IF WORK HAS <br />NOT CONNEHCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 18~ DAYS, OR IF WORK <br />FALLS TO MEET ALL REQUIREMENTS OF STATE LAWS AND HARION coUNTY ORDINANCES. UPON <br />WRITTEN REQUEST, ONE SIX (6) MONTH EXTENSION NAY ~E GRANTED. <br /> <br />SIGNATURE OF APP[.~CANT: <br /> <br />DONALD E WOODLEY~ MARION f, OUNTY BUILDING OFFICTA;. / BY DSTONE //~.1\! <br /> <br /> <br />