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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) 588-7904 <br /> <br /> OH-SITE APPLICATION <br />DATE/TIHE 89/87/95 12=41 STATUS = APPLIED <br />PERNIT NO 95-15812 APPLIED : 89/87/1995 <br />TYPE SE <br />CLASS TO EXPIRE : 03/85/1976 <br />OCCUPAHCY R-3 PA~E 1 <br /> <br />SITE ADDRESS = CITY= HN~IOH COUNTY 2212g BUTTEVILLE RD NE AR <br /> <br />SUBDIVISION : <br /> <br />CROSS STREET = FARGO RD HE <br /> <br />PARCEL NUNBER = 4~381-~88 <br /> PARCEL SIZE = 41.? AC <br /> <br />OSHER <br />NNIE = RISSBERGER, JOHH <br />ADDRESS : 12151 SE 162 AV <br /> CLACKANAS, OREGOH <br /> <br />PHONE = 658-4454 <br /> <br />LOT= BLOCK= <br /> <br />APPLICANT <br /> NAHE <br /> ADDRESS <br /> <br />RISSBERGER, JOHN <br />12151 SE 162 AV <br />CLACKAH~S, OREGON <br /> <br />PHONE = 658-4454 <br /> <br />97~15 <br /> <br />COHTRACTOR = RISSBERGER~ JOHN <br /> PHONE = 658-4454 <br /> <br />WORK DESC : SE FOR FUTURE HOUSE <br /> <br /> Units Description <br /> ~ Site evaluation <br /> OEO Surcharge <br /> <br />LICENSE= <br /> <br />Fee <br /> <br />Assessed fees : 325.~ <br />Adjustments : .88 <br />Total fees : 325.~ <br />Total p~ments: 325.80 <br /> <br />Dalance due = .88 <br /> <br />90HALD E. ~OODLEY, NARION COUHTY BUILDING OFFICIPJ_ / BY DSTOHE <br /> <br />................ FOR OFFICE USE ONLY. THIS IS NOT A PERHIT .................. <br /> <br /> HAP: 4 ZONE: EFU PROPERTY LOCATORc ~41W~SA 88688 <br /> <br /> <br />