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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) 558-5547 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> ON-SZTE APPLICATIOH, <br />~ATE/T[NE : ~7/24/97 I4=24 ACTIVITY HO = 97-~5~49 <br />TYPE : Sp STATUS : APPCIED <br />OCCU <br /> PN4CY : R-3 SE APPLIED : 17/24/1~7 <br />PAGE : I 5P APPLIED : 57/24/1997 <br /> TO EXPIRE = 51/25/1998 <br /> <br />WORK OESC : AUTH/FLO FOR 3BED MD REPLACING 2/BED MD <br /> <br />EX~ST BEDROOMS: ,~ PROPOSED ~EDROOMS== 7 <br />EXIST EMPLOYEE: ' PROPOSED EMPLOYEES= <br /> <br />SITE ADDRESS : ~ITY: MARION COUNTY <br /> 8S14 WE~T STAYTON RD SE AM <br /> <br />SUBDIVISION : LOT: <br />CROSS STREET :,PORTER <br />PARCEL NUMBER : 58276-0~'~ <br /> PARCEL SIZE ? 46.00 AC <br /> <br />BLOCK: <br /> <br />OWNER : WITT M, <br />ADDRESS : 8814 WEST STAYTOI E <br /> AUMSVILLE <br /> OR 97325 <br />PHONE : 74~-1814 <br /> <br />AUlH AGENT : WITT MARSHA& LANE <br />A~DRESS : 8814 WEST STAYTON RD SE <br /> AUMSVILLE <br /> OR 97325 <br /> PHONE : 749-1814 <br /> <br />~EQ INSTALLER : QEQ LICENSE: <br /> <br /> PHONE : <br /> Units ~escri~tion Fee <br /> 1 DEQ Surcharge 38.00 <br /> <br /> Assessed fees : 247.0~ <br /> Adjustments : <br /> Total fees : 247.08 <br /> PAYEE: WITT MARSHA& LANE Total paxments: 247.08 <br /> Balance ~ue : .0~ <br /> <br /> THI~ IS HOT A PERNIT. THIS APPLICATION flUSt GO THROUGH A REVIEW PROCESS WHERE <br /> ~FOIL, FEASABILITY AND INSTALLATION REQUIREHENTS ARE CHECKED PRIOR TO THE ISSUANCE <br /> A PERNIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br /> NECESSARY INFORHATION IS PROVIDED. AS SOON AS ALL REDUIREHENTS OF THE REVIE# <br /> HAVE ]~EEN NIE-~, YOU MILL BE NOTIFIED. <br /> <br /> DONAL.D E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY MBULL <br /> <br />................ FOR OFFICE USE ORLY. THIS IS NOT A PER~IT ............... <br /> NAP: 51R ZONE: EFU PROPERTY LDCATOR: BO2W3d5 Bll~ <br /> Ld~ USE CASE NO: <br /> <br /> <br />