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ItL ~ ~, <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Houre: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> BUILDIHG APPLICATION <br />DATE/TINE : D&/29/96 15:2§ ACTIVZTY HO : 96-~4681 <br />TYPE : Residential accessory struct STATUS : APPLIED <br />CLASS : D~elling addition/alteration ~PPLIED : 86/25/1~6 <br />OCCUPANCY = R-3 TO EXPIRE = 12/22/1996 <br />~HSTR~TIOH = P~E 1 <br /> <br />V~LOAT~ON : ~2~659.2~ <br /> <br />WORK OESC : RES/GARAGE/BONIJS ROOM <br /> <br />SZTE ~DDRESS : CITY: HARION COUNTY <br /> 1858~ SCHULER RB NE AR <br /> <br />CROSS STREET : CHAMPOEG RD NE <br /> <br />PARCEL NUMBER : 40277-000 <br /> PARCEL SIZE : 4.30 AC <br /> <br />OWNER NAME : WOOD,EMERSON G & MARILYfl C <br /> <br />APPLICANT <br />NAME : J MICHAELS CONSTRUCTION CO <br />ADDRESS : 1328 NOVA CT <br /> <br /> WEST LINN, OR 97068 <br />PHONE : 657-7389 <br /> <br />CONTRACTOR/ : J MICHAELS CONSTROCTION CO <br />AGENT : ,; MICHAELS CONSTRUCTION CO <br />PHONE : ~57-7389 <br /> <br />OCCB: 0852271 <br /> <br />BUIL.~ING SQFT: <br /> <br />1,008 STORIES: 1 HEIGHT: 20 <br /> <br />U~ni~0 Description .... Fee <br /> ~ul~olng ~ee <br /> 1.0 Plan Review Fee 134.23 <br /> 1 State surcharge 10.3~ <br /> I Zone surcharge 10.~3 <br /> <br /> Assessed fees : 361.39 <br /> Adjustments : <br /> Total fees : ~1.3~ <br />PAYEE: J MICHAELS CONSTRUCTION CO Total paxments: ~61.37 <br /> Balance due : .00 <br /> <br />THIS IS NOT A PERHIT. THIS APPLICATIOH NUST GO THROUGH A SIHULTAHEOUS REVIEN PROCESS <br />NHERE ZOHING. SEPTIC (IF APPLICABLE) AHD COHGTRUCTION PLANS ARE CHECKED PRIOR TO THE <br />ISSUAN(~ OF A PERNIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />~CESSARY IHFORHATION IS PROVIDF~B. AS SOON AS ALL REOUIREHENTS OF THE REVIEN HAVE <br />E..,. ,SO .ILL,*S <br /> <br />SIGNATURE OF APPLICANT: <br />**********************************************************__************* <br />OONA[.O E. WOODLEY~ NARIO~ COIJNTY BUII.~ING OFFICIAL / ~Y <br /> <br />................................. FOR OFF~CE USE ONLY ........ .~,~.~;:z,~___~.= <br />~E ~ ~GB: ZONE: AR PROPERTY L. OCATOR: 041WO6A 00100 <br /> <br />RE@D SETBACKS: Front: L~ft: Right: Rear: Special: <br /> <br />PI.AN REiVIEW : DATF: ZONZNG REVIEW: DATE: <br /> <br /> <br />