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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br />DATE/TIME <br />TYPE <br />OCCUPANCY <br />PAGE <br /> <br /> 285 Chur,,-h Street NE · Room 132 · Salem, Oregon 97301-8670 <br /> Office Hot~r~: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> OH-SITE APPLICATION <br />: lB~SS/96 12:47 ACTIVITY HO : 96-S7926 <br />: SE STATUS : APPLIED <br />: R-3 SE APPLIED : 10/~66/1996 <br />: I SP APPLIED : 1S/S6/1996 <br /> TO EXPIRE : $4/B4/1997 <br /> <br />WORK DESC : SE <br /> <br />EX[ST GEl)ROOMS: <br />EXIST EMPLDYEE~ <br /> <br />sire ADDRESS : <br /> <br />PROPOSED BEDROOMS : <br />PROPOSED EMPLOYEES: <br /> <br />2T~5 CLIFFORD AV PT <br /> <br />CITY: BETROIT <br /> <br />SUBDIVISION <br />PARCEL <br /> <br />PATTON 2ND ADO <br />LDTS 14 & 15 <br /> <br />9~260-880 <br /> 24570.0SF* <br /> <br />OFF SCOT'[ AV <br /> <br />LOT: 14 <br /> <br />BLOCK: <br /> <br />6 <br /> <br />OWNER <br /> ADDRESS <br /> <br />PHONE <br /> <br /> '1' <br />HOFF~ BRJCE <br />4866 CAP)S'TRAN9 CT <br />SALEM, OREGON <br /> <br />: 503-375-441~ <br /> <br />97~05 <br /> <br />AUTH AGENI <br /> Al)DR <br /> <br /> PHONE] <br /> <br />!)E~ INSTALLER <br /> <br /> PHONE <br /> <br /> Units <br /> ! <br /> 1 <br /> <br />H[tF:F, BR[ E,E <br />4846 CAP[STRAND CT <br />SAL. EM~ OREGON <br /> <br />50Z--375-4413 <br /> <br />Oescrigtion <br /> <br /> ~EQ Surcharge <br /> <br />97305 <br /> <br />DEB LICENSE: <br /> <br /> Assessed fees ,' 320.00 <br /> Adjustments : .00 <br /> Total fees : 320~ 00 <br /> PAYEE: HOFF'~ L:RIJ.,E Total payments: .00 <br /> Balance due : 32~.88 <br /> <br /> TH;S IS ~T A PERHIT. TH~S A~LICATIOH ~ST GO ~ROUGH A REVIE~ PROCESS ~HE~ <br /> SOIL, FEASABIL~TY ~ND IHSTALLATION REGUIREHENTS ARE CHECKED PRIOR TO T~ ISSUA~E <br /> ~F A PERHIT. IT IS THE RE~O~IB~L~TY OF THE AP~cAHT TD ASSURE THAT ALL <br /> HECE~Y ;HFOR~ATI~ IS PRDV~BEB. AS SO~ AS ~LL REGUIREHEHTS OF THE REVIEW <br /> ~VE BEEH HET, YQU W~LL BE ~TIFIED. <br /> <br /> SIGNATURE OF APPLICANT: <br /> <br /> PONAL*O E. WOf)OLEY~ HARION COUNTY BUILDING OFFICIAL / BY CL.YNCH <br /> <br />................ FOR OFFICE USE ONLY. THIS IS HOT A PERHIT .................. <br /> H~: ZONE: ~ PROPERTY L~TOR: 18~01CA84188 <br /> <br /> SEPTIC REVIEW: DATE: ZONING REVIEW: DATE: <br /> <br /> <br />