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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) 588-514'/' * 24-HR Inspection Line: (503) 373-4427 <br /> <br /> BUILDING APPLICATION <br />DATE/TINE = 06/13/97 10=33 ACTIVITY NO : 97-04402 <br />TYPE : Resident. addition/alteration STATUS : APPLIED <br />CLASS : DNelling addition/alteration APPLIED : 06/13/1997 <br />OCCUPANCY : R-3 TO EXPIRE : 12/10/1997 <br />COHSTRUCTION : V-N PAGE i <br /> <br />VA[OATION : $13~966.56 <br /> <br />WORK DESC : ADDING FML. Y RN <br />SITE ADDRESS : <br /> <br />S!IBDIVIS](iN : <br />[;ROSS STREET : <br /> <br />PARCEL NHNBER : <br />PARCEL SIZE : <br /> <br />OWNER NAME : <br /> <br />APPLICANT <br />NAME : <br />ADDRESS : <br /> <br />7881 TERRANCE LN SE AM <br /> <br />CITY: MARION COUNTY <br /> <br />MILE. CREEK RD SE <br /> <br />LOT: BLOCK: <br /> <br />75060-840 <br /> .43 AC <br /> <br />MYRICK, RAY ESR & KAREN I <br /> <br />TATOM RON <br />38168 FRANKLIN BUTTE RD <br /> <br /> PHONE: : <br /> <br />CONTRACTOR/ : TATOM RON <br />AGENT : TATOM RON <br />PHONE : 394-2658 <br /> <br />T[)I'A! SQ FEET : 2'[6 <br /> STORIES: 1 <br /> <br /> U~lits Deso~iptio~ <br /> <br /> Flan Review Fee <br /> 1 State surcharge <br /> 1 Zone surcharge <br /> <br />SCIO~ ~R 97374 <br />394-26,~8 <br /> <br />OCCB: 8884682 <br /> <br />1ST FLR: 2ND FLR: SRO FLR: <br />GARAGE: BASEMENT: OTHER: <br />HEIGHT: 15 <br /> <br />Fee <br /> <br /> 67.93 <br /> 5.23 <br /> 5.23 <br /> <br /> Assessed fees : 182.89 <br /> Ad justMents : .00 <br /> Total fees : 182.89 <br />PAYEE: TATOM RON Total payments: 18~.89 <br /> Balance due : .00 <br />************************************************************************************ <br /> <br />THIS IS NOT A PERHIT. THIS APPLICATION NUST GO THROUGH A SIHULTANEOUS REVIEW PROCESS <br />WHERE ZONING, SEPTIC (IF APPLICABLE) AND CONSTRUCTION PLANS ARE CHECKED PRIOR TO THE <br />ISSUANCE OF A PERNIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />NECESSARY IHFORHATION IS PROy.,U)ED. AS SOON AS ALL REraUIREHENTS OF THE REVIEW/ NAVE <br />,,EE. ,ET, YO,, <br />SI~NATtlRE ~F AFPLICANT: ,~ ~ ~~ <br />*************************************--************************************** <br />DONAI ~ E. WOODLEY, HAR'[ON COONTY BOILPING OFF'ICIAL / BY MBULL <br /> <br />.......................................... FOR OFFICE USE ONLY ........................... <br />SITE / UGS: <br /> HAP : 5IR ZONED AR PROPERTY LOCATOR: 082W26D 02400 <br /> !. AND USE: <br />REQD SEFBACKS: Fro~t: Left: Right: Rear: Special: <br /> <br /> <br />