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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 Hours: 8:00-4:30 * Phone: (503) 588-5147 * 24-HR Inspection Line: (503) 373-4427 <br /> <br /> BUILDING APPLICATION <br />DATE/TIME ~9/12/96 1~=2B ACTIVITY HO = 96-e7184 <br />TYPE Resident. addition/alteration STATUS = APPLIED <br />CLASS DNelling addition/alteration APPLIED : ~9/12/1976 <br />OCCUPAHCY R-3 TO EXPIRE = ~3/11/1997 <br />COHSTRUCTIOH V-N P~E 1 <br /> <br />VALOATION : $18~ 184.88 <br /> <br />WORK DESC : ADDN:RES BEDROOM,HUD ROOM AND BATHROM <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 22555 BENTS RD NE AR <br /> <br />CROSS STREET : EHLEN RD <br /> <br />PARCEL NUMBER : 73868-010 <br /> PARCEL SIZE : .88 AC <br /> <br />OWNER NAME : DRYDEN~DAVID M <br /> <br />APPLICANT <br /> HAME : <br /> ADDRESS : <br /> <br />SCHOMUS THOMAS CYRIL <br />21818 BOONES FERRY RD NE <br /> <br /> AURORA, OR 97882 <br />PHONE : 678-1448 <br /> <br />CONTRACTOR/ : SCHOMOS THOMAS CYRIL OCCB: 8832965 <br />AGENT : SCNOMUS THOMAS CYRIL <br />PHONE : 678-1448 <br /> <br />BUILDING SQFT: 288 STORIES: I HEIGHT: <br /> <br /> Un±ts Qescription Fee <br /> -'---1-;.~-----~-uilding Fee <br /> 1~8 Plan Review Fee <br /> 1 State surcharge <br /> I Zone surcharge <br /> <br />87.43 <br /> 6.73 <br /> 6.73 <br /> <br /> Asseesed f~es : 235.3~ <br /> Adjustments : ~80 <br /> Total fees : 235.3~ <br />PAYEE: SCHOMUS THOMAS CYRIL Total payments: 235.3? <br /> B~tance due : <br /> <br />THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A SIMULTANEOUS REVIEW PROCESS <br />WHERE ZONIHG. SEPTIC (IF ~PPLICABLE) AHD COHSTRUCTIOH PLANS ARE CHECKED PRIOR TO THE <br />ISSUAHCE OF A PERHIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />HECESS~RY INFORHATIOH IS PROVIDED. AS SOOH AS ALL REGUIREMEHTS OF THE REVIEW HAVE <br />BEEH HET~ YOU WILL BE HO~I~IED THAT YOUR/~E~flIT H~S 8EEH ISSUED. <br /> <br />SIGHATURE OF APPLICANT: ~ <br /> <br />DONALD E. WOODLEY~ MARION COUNTY BUILDING OFFICIAL / BY DFREILIN <br /> <br />.................................... FOR OFFICE USE OHLY ........................... <br />SITE / UGB: <br />MAP : 4 ZONe: EFU PROPERTY LOCATOR: 041W04D 81480 <br /> <br />REOD SET~ACKS: Front: Le~t: Right: Rear: Special: <br /> <br />PLAN ~EVIEW : DATE: ZONING REVIEW: DATE: <br /> <br /> <br />