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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) 373-4427 <br /> <br />IIATF/T)#F <br />TYI~_ <br /> <br />: 1J/77/96 Jtl:?l~ ACTIVITY NO : 96'~ <br />: Ne# ~nm~factured 1~elttng STATUS : APPLIED <br />: R-3 ~k~I-IED · tl/27/1996 <br /> TO EXPIRE -' B5/26/1997 <br /> Pm~E I <br /> <br />WrlRK PFS£ -. NMFF, <br /> <br />RIFF ADI)RFgR : CITY: DETROIT <br /> <br />]?~ WARRFN ST DT <br /> <br />CRfIFiS STRFFT : r;IJYMF)O~F DR <br /> <br />PARCFI NIIH~FR : 9i~740-27(~ I AND IISE: <br />PAR£F~ %[7F : 5/,25. ~RF <br /> <br />OWNFR NAHF : M)NFR,DON <br /> <br />APPI. ICANT ./,: <br /> / <br /> NAItF .' HTNFR. DCIH <br /> RAI FM, OR <br /> <br />PHBNF : ~&3-4173 <br /> <br />£ONTRACTOR/ <br /> A~FNT <br /> F'HONF <br /> <br />IFTRURFIANO HOMF~ <br />MINFR. DON <br /> <br />OCCB: 0023333 <br /> <br />INSTAtIFR : MD LICENSE: <br />F'HONF <br /> <br />IINTT Rfl FT : <br /> <br />lini~s I)escription Fee <br />~ State administrative fee 20.08 <br /> <br /> Assessad fees : 277.25 <br /> Adjusfnents : .~0 <br /> Total f.es : 277.25 <br /> PAYFF: M)NFR,~ON lnfa~ payments: .08 <br /> Balanc~ due : 277.25 <br /> <br /> THIS IS #~ A PER~[~. THIS APPLI~T[~N ~[ST ~ THROI~ A SIN~LT~EOUS REVIE~ <br /> PRI~--FSS I~'RF 7~tNl#~. SFP~ (~F ~IC~F) ~ SI~ P~ IS ~E~ PRIOR TO <br /> T~ T~IANCE OF A PERMIT. IT IS T~ RE~NSIBII.ZTY ~ T~ ~LICANT TO ~RE <br /> THAT All NFCF~Y TNF~ATT~ TS ~VZ~FD. ~q ~ ~ ~L REGUZRE~NT5 ~ THE <br /> ~V~FM ~VF 8F~ HFT~ Y~I MTI.I. RE N~TTF~EO T~T Y~R PE~XT HAS 8E~ ~SSUED. <br /> <br />ROH~I~ F ~{IPht FY~ HAE:f~N ~RIIH1Y AU:II ~TNC PFFT~TAI / ~Y PEYOH p.~ . <br />.................................... F~3R r)FFTCF I~F ONLY ......................... <br /> <br /> PlAN RFV[EW : OAF~: ZONTNG REVIEW: DATE: <br /> <br /> <br />