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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 /> ON-SXTF APPt)CAT)ON <br />DATE/TINE : ~t/22/97 g8:51 ACTIVITY HO 96-B9782 <br />TYPF : SP STATUS APPLIED <br />OCCUPANCY : R-3 SE APPLIED <br />PA~F : 1 SP APPLIED 12/19/1996 <br /> TO EXPIRE 06/17/1997 <br /> ...................................................................................... <br /> <br />WORK I)FSC : AI.T~RAF[ON FOR FUTIIRE HOIJSE TO ~E ~IITIT 4/BED <br /> <br />I×TST ~F~l~O[1HS: 2 PROPOSFP BFI)ROOMS : 4 <br />~×llgT FHPIOYEF: PRllF'OfiFI) EMPI_OYFFS: <br /> <br />~]]F AOi)ldgg : CITY: MARION COUNTY <br /> 975R SNOI)OY OR SE AM <br /> <br />LOT: BLOCK: <br /> <br />CROSS RTREFT : B[AN AllEY Ri) SE <br /> <br />i)l Q TNSTAI IFR : <br /> <br />DEQ LICENSE: <br /> <br />PHONF : <br /> <br />Pe!:.rr ] pt 1on Fee <br />Major R~oail: ~ l:~[~ <br />I)FQ Surrhar g~ 30.00 <br /> <br /> Assessed fees 210.00 <br /> AdjustMents .00 <br /> Total f~es . 210.00 ~' <br /> F'AYF~: .IONFS,HFRRFRT & FORRFST,[ Tnta) payments. <br />********************************************************************--** <br /> TN[~ IS NOT A PERRIT. THIS APPLICATION NUST GO TNRO~GH A REVIE~ PROCESS ~HERE <br /> SO~t~ FFASAR~tITY AND INSTAtLATION REgBIREHENTS ~RE CHECKED PRIOR TO THE [SSUANCE( <br /> OF A PERNIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THaT ~LL <br /> ~E~S~RY ~NF~RHAT[ON [~ PROV[gED. AS SO~ ~S ~LL REGU[REHENTS OF THE <br /> H~VE ~EEH HET~ Y~U ~[I_L BE NOT[F[[~. <br /> <br /> D~INAI 0 F. WOOOIFY~ MAR)ON COUNTY ~Ill[DINC OFFICiAl_ / BY DSTONE ~ <br /> <br />................ FOR OFFICE USE ONLY. THIS IS HOT A PERHIT ....... ~ .... <br /> HAP: 6~ ZONE: EFU PROPERTY LOCATOR: 891WIOB p2ggg <br /> <br /> SEPTIC R~IEW: DATE: ZONI~ REVIEW: DATE: <br /> <br /> <br />