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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaater Dr. N.E. · Suite C · Salem, Oregon 97305-1398 <br />Office Houm: g:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> OH-SITE ~PPLICATIOH <br />9/kTE/TIilE I ~&/~3/97 12=g5 ~CTIVITY 140 : 97-~ <br /> . SP STATUS ~ AF~LIED <br /> ~ R-3 SE APf~IED : S&/g3/19~7 <br /> ~ I 8P APPLIED = 86/83/1997 <br /> TO EXPIRE ~ 11/38/1997 <br /> ----.~._~.--~. ................................................................... <br /> <br />WORK DESC ~ S.~;MINOR REPAIR, TANK REPLACE DUE TO BLBG ADDITION <br /> <br />EXIST BEDROOMS.' 3 PROPOSED BEDROOMS = 4 <br />EXIST EMPLOYEE= PROPOSED EMPLOYEES= <br /> <br />SITE ADDRESS .' CITY.* MARION COUNTY <br /> 11171 SHAFF RD SE AH <br /> <br />SUBDIVISION <br /> <br />CROSS STREET <br /> <br />PARCEL NUMBER <br />PARCEL SIZE <br /> <br /> LOT= <br />BETWEEN PORTER RB & GOLF CLUB RD <br /> <br />6B47B-~O <br /> 1.00 AC <br /> <br />BLOCK: <br /> <br />OWNER <br /> ADDRESS <br /> <br />PHONE <br /> <br />ATTWELL,ALBERT W <br />11171SR~FF ROAD SE <br />AUHSVILLE, OR <br /> <br />S 769-B6~B <br /> <br />973~2 <br /> <br />AUTH AGENT <br /> ADDRESS <br /> <br /> PHOHE <br /> <br />DFQ INSTAllER <br /> <br /> PHONE <br /> <br />JEHSEH MICHAEL RAY <br />762 E#~LD AVE S <br /> <br />SALEM. OR 97302 <br />315-989~ <br /> <br />]OEO LICENSE= <br /> <br /> Assessed fees : <br /> Ad~ustnents : <br /> Total fees : 13B.0~ <br />PAYEE= ~ MICHAEL RAY Total payments: <br /> Balance due ~ <br /> <br />~}5 IS 14OT~i~ PER~IT. THIS N~PLICATIO~ I~T GO ~ A ~VIEW P;SS ~ <br /> L~ F~LI~ ~ I~T~TI~ ~I~6 ~ ~ ~I~ TO ~ ZS~ <br /> <br /> ~ , T~ ~ILL ~ ~TIFI~. ~ . <br /> <br />****************************--__**************************** <br />DONALD E. ~OODLEY, H~RION COUNTY BUILOIH~ OFF[C~ / BY DSTOHE ~ <br /> <br />L~D ~E CA~ ~: <br /> <br /> <br />