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MARION COUN ' BUILDING INSPECTION <br /> COMMUNII~IDEVELOPMENTCENTER <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) 588-7904 <br /> OH-SITE <br />~.,IKS/29/97 t1~23 ~ICTIVITY NO z 97-e3947 <br /> <br /> s 05/2Y/1997 <br /> ~P <br /> <br />WORK DESC I SE/TH READY <br /> <br />EXIST SEDROOHSs PROPOSEB B~.DROOMS s <br />EXIST EMPLOYEE= PROPOSED F=HPLOYEESs <br />SiTE ADDRESS ; <br /> 6125 SHAW ACRES WY SE AH <br /> <br />CITY: MARION COUNTY <br /> <br />~LISDIVISIOfl I <br /> <br />CROSS STREET s SHAW SQUARE RD <br /> <br />PARCEL NUHBER : 75300-42] <br /> PARCEL SIZE : 3.00 AC <br /> <br />LOT: <br /> <br />BLOCKI <br /> <br />OWNER <br /> ADDRESS <br /> <br />PHONE <br /> <br />HILL,HARK <br />8994 SHAW SQUARE RD SE <br />AUHSVILLE <br />OR 77071 <br />749-1947 <br /> <br />AUTH AGENT s BOB'S BACKHOE SERVICE <br />,,,AI)DRESS : ROBERT SPRAGUE <br /> 171~4 ARBOR GROVE RD HE <br /> WOODBURN OR 97071 <br /> PHONE : (503) 981-1200 <br /> <br />DEQ IHSTALLER : SOB'S SACKHOE SERVICE <br /> <br /> PHONE : (503) 981-1200 <br /> <br /> Unite Description <br /> I Site evaZuation <br /> I DEO Surcharge <br /> <br />DEQ LICENSE: 33966 <br /> <br /> Fee <br /> <br /> Aeeessed fees <br /> Adjustme~te <br /> Total fees <br />PAYEEs ~OB'S ~ACKHOE SERVI~ ; ~o~al payments: <br /> ~a/a~ce aue <br /> <br /> ' <br /> <br /> <br />