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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 />DATE/TINE : 86/12/97 <br />TYPE = SP <br />OCCUPANCY = R-3 <br />PAGE = 1 <br /> <br />18:29 <br /> <br />ON-SITE APPLICATION <br /> <br />M~TIVITY NO : 97-S4353 <br />STATUS : APPLIED <br />SE APPLIED : 86/12/1997 <br />SP APPLIED : S6/12/1997 <br />TO EXPIRE : 12/89/1997 <br /> <br />WOEK DFSC <br /> <br />EXIST BEDROOMS: <br />EXIST EHPLOYEE: <br /> <br />SITE Al)l)RESS : <br /> <br />MAJOR REPAIR:DRAIH FIELD <br /> <br /> 2 PROROSEB ~EDROOMS : <br /> PROPOSED EMPLOYEES: <br /> <br />18766 BUTTE ST NE AR <br /> <br />CITY: MARION COUNTY <br /> <br />SUBDIVISION : <br />CROSS STREET : <br /> <br />PARCEl.. NUMBER : <br />PARCEL. SIZE : <br /> <br />BLITTEVILLE <br /> <br />74~8~-090 <br /> .00 AC <br /> <br />I.OT: <br /> <br />BI.OCK: <br /> <br />OWNER <br /> ADORESS <br /> <br /> PHONE <br /> <br />ROBERTS, CRAIG & LORI <br /> <br /> 97070 <br />N/A <br /> <br />AUTH AGENT : <br /> A~RESS : <br /> <br /> PHONE <br /> <br />bED ~NSTAI.LER <br /> <br /> PHONE <br /> <br /> Units <br /> <br /> 1 <br /> <br />WILMES TRUCKING INO <br />PO BOX 61 <br /> <br />WILSONVILLE, OR 97878 <br />682-9007 <br /> <br />l)EQ LICENSE: <br /> <br />Oescription <br /> ~ajor Re,mir <br /> l)EQ Surcharge <br /> <br />18~.0o' <br /> ~0.00 <br /> <br /> Assessed rems 210.0~ <br /> AdjustMents <br /> Total fe~s 210.80 <br /> PAYEE: WII.MES TRUCKING '[NC Total paxMents: 210.88 <br /> B~la~ce ~ue <br /> <br /> THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIE# PROCESS NHERE <br /> SOIL, FEASA~ILITY AND INSTALLATION REOUIRENENTS ARE CHECKED PRIOR TO THE ISSUANCE <br /> OF A PERNIT. IT IS THE RESPONSIBILITY OF~THE APPLICANT TO AgSURE THAT ALL <br /> NECESSARY INFORHATION IS PROV[~E,~j~ J~5/~ON AS ALL REGUIREMENTS OF THE REVIEW <br /> HAVE BEEN HE-T, YOU WILL <br /> SIGNATURE OF APPLICANT:' //~.,~' <br /> ***************************--*********************************************** <br /> gONAf..D E. WOOI)LEY~ MARION COUNTY BUILl)ING OFFICIAL / BY TTONEY~ <br />................ FOR OFFICE USE ONLY. THIS IS NOT A PERNIT- ................ <br /> I~P: I ZONE: ~R PROPERTY LD~TOR: 831N32CC88988 <br /> <br />LAN~ USE CASE NO: <br /> <br /> <br />