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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N.E. · Suite C · Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 * Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> AUTHORIZATIOfl/HZHOR REPAIR PERflIT <br />DATE/TIHE = S6/18/97 12=18 PERHIT NO = 97-S4868 <br />TYPE : SP STATUS : ISSUED <br />OCCUPAHCY : R-3 ISSUED : ~/18/1997 <br /> TO EXPIRE : 85/18/1798 <br /> PAGE 1 <br /> <br />WORK DESC : SS;MINOR REPAIR, TANK REPLACE DUE TO BLDG ADDITION <br /> <br />SI}E ADDRESS : CITY: MARION COUNTY <br /> 11171SHAFF RD SE AM <br /> <br />,gUI t~IVISION · LOT: BLOCK: <br />CRO, S STREET : BETWEEN PORTER RD & GOLF CLUB RD <br /> <br />.-AkCE. NHMBKR : 60478-888 PROPERTY LOCATOR: 891WOSD 0100~0 ,/~ / <br /> ~ .... ~/ / <br /> PAR,~L SIZE : 1.AC ZONE: EFU <br /> <br />OWNER : AI'TWELL,ALBERT W ~ <br />AUTH AGENT JENSEN MICHAEL RAY <br /> <br /> SALEM. OR <br /> PHONE : 315'7870 <br /> <br />QE[] INStALL.R : <br /> PHONE : <br /> <br /> Un:Lts Desc'.r :Lp t ion <br /> ---f H'in6'r Rep~.r <br /> t ~E~ SUrcharge <br /> <br />DEQ LICENSE: <br /> <br />Fee <br /> <br /> 30.00 <br /> <br /> Assessed fees 1~0.00 <br /> Adjustments .00 <br /> Total fees 130.00 <br />PAYEE: JENSEN MICHAEl. RAY Total p~xments: 130.00 <br /> Balance due : .00 <br /> <br />THIS AUTHORIZAT[ON/HIHOR REPAIR PERHIT IS NON-TRANSFERABLE AND EXPIRES 355 DAYS <br />FFRDH ISSUE DATE. <br /> <br />DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAl_ / BY PMUNRO.~F / <br /> <br /> <br />