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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 />Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br /> BUILOING APPLICATIOH <br />DATE/TIHE = 81/16/76 11=13 ACTIVITY HO = ?6-88381 <br />YP : Resident. addition/alteration STATUS : APPLIED <br />~LA~S : D~e~ling addition/alteration APPLIED = 81/16/1996 <br />OCCUPANCY = R-3 TO EXPIRE ~ 87/14/1996 <br />CONSTRUCTION = V-N PAGE 1 <br /> <br />VALUATION ~ $5~348.00 <br /> <br />WORK DESC : MD'ROOF ALTERATION <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 10328 CHAMPOEG RD NE AR <br /> <br />CROSS STREET : <br /> <br />PARCEL NUMBER : 40250-008 <br /> PARCEL SIZE : .0 AC <br /> <br /> : CUNNINGHAM,ROLAND E & GAYL E <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS; <br /> <br /> PHONE <br /> <br />CONTRACTOR/ <br /> AGENT <br /> PHONE <br /> <br /> : BG ANDERSON CONSTRUCTION INC <br /> : 1108 VENTURA N <br /> <br /> SALEM, ~R <br /> : 393-6295 <br /> <br /> : 8G ANDER,~;ON CONSTR!JCTION <br /> : BG ANDERSON CONSTRUCTION INC <br /> : 3~3-~2Y5 <br /> <br />BUILDING S(] FT: STORIES: 1 <br /> <br /> Units Description <br /> <br /> P[an Re, Sew Fee <br /> 1 St~t~ surcharge <br /> <br />/qqO <br /> <br />OCCB: 0042185 <br /> <br />HEIGHT: <br /> <br />36.73 <br />2.83 <br /> <br />Assessed fees : 96.86 <br />AdjustMents : .00 <br />Total fees : 96.06 <br />Total p~yments: 96.86 <br />PAYEE: BG ANDERSON CONSTRUCTION INC Balance due : ~0 <br /> <br />THIS IS NOT A PERHIT. THIS APPLICATIOH HUST CO THROUGH A SIHULTANEOUS REVIEW PROCESS <br />MHERE ZOHIH~ SEPTIC (IF APPLICABLE) AHB CONSTRUCTION PLANS ARE CHECKE9 PRIOR TO THE <br />ISSUAHCE OF A PERHIT. IT IS THE RESPOHSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />HECESSARY INFORHATION [S PRDVIDEB. AS SOON AS ALL REGUIRENEHTS OF THE REVIEW HAVE <br />BEEH HET, YOU MILL BE HOTIFIEDT, M f~ YOI~R PERHIT H~S BEEN [SSUED. <br /> [/ <br />S,GNA'I'URE OF' APPLICANT: ..... <br /> <br />DONALD E. WO(1DL. EY~ MARION COUNI'Y BtlILDING OFFICIAL'/ BY MBiJLL <br />......................................... FOR OFFICE USE ONLY .................................. <br /> <br />HAP : Z(1NE: EFU PROPERTY L.(1CA'FOR: 041WO6D 01100 <br /> <br />REQD SERBACKS: Fro)')'~: L~ft: Right: Rear: Specia'L: <br /> <br />PLAN REVIEW : DATE: Z('q~ING REVIEW: DATE: <br /> <br /> <br />