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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 Hour~: 8:00.4:30 * Phone: (503) 588.5147 · 24-HR Inspection Line: [503) 373-4427 <br /> <br /> ON-~TTE APPLTCATTOH <br />DATF/TTHF ]]/S8/76 1]:43 ~CTIVITY HO : 96-8874! <br />TYPE SP STATUS = APPLIED <br />flCCLIPAH~Y F-J SE APPLIED : <br />PACE t SP APPLIED : <br /> TO EXPIRE : 8§/84/1977 <br /> <br />WORK DFSC : <br /> <br />EXIST B~QROOM~: <br />FX~ST FHP;OYFF: <br /> <br />,qS: AUTH/FI D A]ID:PRF-FA~ [:l ASS EM 96-8739 <br /> <br /> PRllPOSFO BFORllOMF; : <br /> ~ROPOSFD FMPI tlYFFR: 560 <br /> <br />2~24& ~RTM RD NF AR <br /> <br />CITY: MARION COUNTY <br /> <br />~IIB1)TVIS~llN <br /> <br />CROSS RTRFmFT : RllPNFmS FFRRY RD <br /> <br />PARCEl. NllMBER : 4~9'I,~-GBG <br />?ARCFI S77F : <br /> <br />LOT: BLOCK: <br /> <br /> : <br />ADDRF S,~ '~ <br /> <br />PHf]NE : <br /> <br />NllRTH MARION MIO1)I.E SCHlllll. <br />7024~, GRIM RT~ NE* <br />AIJRllRA, llRFGON <br />A~FNT: TllM VAIlGH'r 97002 <br /> <br />AIITH A6FNT <br /> <br />PH(1NF' <br /> <br />NORTH MAR.~ON MIDOl F S{':H[llll <br />2(~24~ r;R'[M RD NL~ <br />AltRORA~ ORFC, ON <br />AGENT: TOM VAIJ~HT 97~02 <br /> <br />1) .fi INSTAI,I.£R . OEO LICENSE: <br /> <br />~H(1NF <br /> <br />Ilr~iks O~scr'i. pti~n Fee <br /> <br /> A~e~sPd fees : 247.00 <br /> Adjustments : .00 <br /> Tof~] fePs : 247.00 <br /> PAYEE: NllRTH MARlllN MIOI)I.E SCHOOl. Total payments: <br /> Bm]an~ due : 247.08 <br /> <br /> THIS TS HIlT A PFRNIT. THIS APPI. TCATIOH HIJST GO THROUGH A REVIE# PROCESS #HERE <br /> S~TL~ F;ASADTL~TY AND ~HSTALLATTOH REQU~RENENTS ARE CHECKED PRIOR TS THE ~SSUAHCE <br /> OF A PERHTT. TT TS T~ RESPOHSIDTL~TY OF THE APPLICANT TO ASSURE THAT ALL <br /> NECESSARY TNF~RHATTSN IS PROVIDED. AS SOON AS ALL REGUIREHENTS OF THE REV~E~ <br /> HAVF RFFH NFT~ YOU ~TII ~F <br /> <br /> ~ECNA¥llR~ llF APPI,TC~Hr: <br /> <br /> !)ONAlO E~ WOOQI,FY~ HARlllN COllNTY BlllLOING llFFIC{AL / BY CLYNCH <br /> <br />................ FOR OFFICE USE OHIY. THIS IS NBT A PERHIT .................. <br /> HAP= 5R Z~NE= EFU PROPERTY LOCATOR: S41~220 SI&SS <br /> SFPTTC RFV~FW= DATE= ZOHTH~ R£VIEW: DATE= <br /> <br /> <br />