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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 * Salem, Oregon 97301-3670 <br />Office flour~: 8:00-4:30 · Phone: (503) 588-5147 * 24-HR Inspection Line: (503) 373-4427 <br /> <br />DATF/TTMF : ~3/la3/97 12:3(~ ON-SITE APPLICATION <br /> ~CTIVITY NO : 97-~14tM <br />TYPE : *qP STATUS : APPLIED <br /> ,,/ <br />OC, C~PANCY : R-3 SE APPLIED <br />P~r.E : I SP APPLIED : 83/03/1997 <br /> TO EXPIRE : ~8/38/1997 <br /> <br />WORK DFSC : <br /> <br />EX~ST BEDROOMS: <br />FX~ST EMPLOYEE: <br /> <br />~[TE AI)I)RE~ <br /> <br />SS: ALITH/ RFPI 2 RFDRMS W/ 2 BEPRSM & DEN <br /> <br /> 2 PROPOSEO BEDROOMS : ~ <br /> PRRPOSFD EMPtOYFFS~ <br /> <br />996~ M~i.L CRFFK RD SF AM <br /> <br />CITY: MARION COUNTY <br /> <br />.SHI~ )~V~SION : <br />CROSS STRFFT <br /> <br />PARCEl. NIJMBER : <br />PARCF[ SITE : <br /> <br />WEST OF* B~BHOP RD SF <br /> <br />564~9-~ <br /> 3.]4 AC <br /> <br />LOt: BLOCK: <br /> <br />OWNER <br /> ADDRFSS <br /> <br /> PHONE <br /> <br />: PAI.ANTIIK, MARGAR£T <br />: 9963 Mile CRFEK RD SE <br /> <br /> 97~75 <br /> <br />AIITH AGFNT <br />Al)DRESS <br /> <br />PHONF <br /> <br />: PA[ANILIK~ MARGARET <br />: 9963 MILL CREEK RD SE <br />AIISMVILLE, ORFI;ON <br /> 97~5 <br />: 50~t-749-2802 <br /> <br />INSTAt.I.ER : <br /> <br />PHONF <br /> <br />OEO LICENSE: <br /> <br />Description Fee <br />Authori?at~on w/F~eJd V~s~t 21~-~ <br />OEO Surch~rg~ 30.88 <br /> <br /> Assessed fees : 247.00 <br /> AdjustMents : <br /> Total fe~s : 247.00 <br /> PAYEE: PALANIUK, MARGARET Totm! p~xMe~ts: ~47.00 <br /> Balance ~ue : .00 <br /> <br /> ~S IS NOT A PFRHIT. THIS APPLICATION HU~T gO THROUGH A RE¥IE~ PROCESS WHERE <br /> L, FEASADILITY ANO INgTALLATIr~I REQU[REHENTS ARE CHECKED PRIOR TO THE ISSUANCE <br /> OF A PERHIT. IT IS THE RESPONSIBILITY OF THF APPLICANT TO ASSURE THAT ALL <br /> NECESSARY INFORHATION IS PROVIDgD. AS SOOH.~rS-'ALL REQUIREMENTS OF THE RE¥IEN <br /> <br />................ FOR OFFICE USE ONLY. THIS IS NOT A PERMIT----'~-~''~-----~ ........ <br /> MAP: 48R ZOHE: UTF PRrIPERTY LOCATOR: 881#3SC 82288 <br /> <br /> SFPTIC REVIEW: D~TF: ZONINg REVIEW: DATE: <br /> <br /> <br />