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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) 5~8-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> AlYrHOR l 7.AT'[I]N/N.TFRAT [riN PERHIT <br />1)ATF/T)*HF = ]:1/1~4/9~ 13;37 PER~I]'T HO : 96--~,842G <br />TYPE : -~P STATUS ; TSSUED <br />(IP..~IIPAI,E:Y = R-3 ISSUEI) .' 11/54/1996 <br /> TO EXPZRE .' 11/54/1997 <br /> PAGE <br /> <br /> WORK DF,QC ; .~R."AUTH/AI TFRATIDN MFG HDRP <br /> <br /> · STTE A1)I)RES~ : CITY: MARION COUNTY <br /> JSj4~,A Mill CRFFK RD SF AM <br /> <br /> LOT: BLOCK: <br /> <br />PROPERTY I.OCATOR: 081W31AA01000 <br /> 70NE: AR <br /> <br />A{ITH AgFNI* <br /> AB~RESS <br /> <br /> PHGNF <br /> <br /> SH~RIFY.NTCHOIAS <br />: <br />: tO~t3 H~l.I. CREEK RO ~E <br /> AIIMRV~iIF~0R <br /> 97~ <br />: 749-]377 <br /> <br />PHRNF : <br /> <br />OF~ I.[CFNSE: <br /> <br />1 Author~ti~n/A'tt~ration 131.00 <br />~ DFP ~urrh~r~e 30.00 <br /> <br /> A~ses~d fees : 378.00 <br /> AdjustMents : <br /> Total fees : 378.00 <br /> PAYFF: BHT~tFY,N~CHOtA~ Tote~ pmxme~ts: ~78.00 <br /> B~lance due - <br /> <br />TH~5 PERH[T [5 NON-TRANSFERabLE AN~ EXPIRES ~5 ~YS FROH ZSSUE DATE iF #ORK HAS NOT <br />CO~NFNC. F~ OR ~F ~ F~[B TB ~FT ~LL RF~HENTS OF STATE L~S ~N9 H~ON C~NTY <br /> <br />RTCNATttRF OF APPITCAHT= <br /> <br />DONA[~ F WORDIFY~ HAR~OH CO[INTY B[ITID~HG OFFTC~A[ / BY MBULL <br /> <br /> <br />