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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Or, N.E. · Suite C * Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 * 24-HR Inspection Line: (503) 373-4427 <br /> <br />DATE/TINE <br />TYPE <br />OCC, PANCY <br />CONST TYPE <br /> <br /> ~UILDING APPLICATION <br />12/15/97 16:4~ <br />u_C_C~ercial addition/alteration <br />V-N <br /> <br />ACTIVITY NO : 97-g9839 <br />STATU~ : APPLIED <br />APPLIED : 12/15/1997 <br />TO EXPIRE : B13/199S <br /> <br />~]I'E ADDRESS : CITY: HARION COUNTY <br /> t2~4 EHLEN RD NE AR <br /> <br />TAX ACCOUNT <br /> PARCEL ~IZE <br /> <br />BLOCK: <br /> <br />MAP: 4R ZONE: ID LAND USE: <br /> <br />APPI.TCANT : <br /> APDRESS : LARRY <br /> 122 SE ~TTH AV <br /> PORTLAN~ OREGON <br /> PHONE <br /> <br />'rOTA[ SQ FEET : <br /> <br />VALUATION : $,~5, ~80. ~8 <br /> <br /> OWNER: I.EATHERS LI'B PARTNERSHIP <br />CONTRACTOR: OCCB: <br /> <br />97?04 <br /> <br />1ST FLR: 2N~ FLR: 3RD FLR: <br />GARAGE: BASEMENT: OTHER: <br /> STORIES: 1 HEIGHT: <br /> <br />Units Description Fee <br />-- 1.0 Build~'flg ~e~ 215.50 <br />1.0 Pla~ Review Fee 14B.~8 <br />~ State surcharge 18.78 <br />1 Zone surcharge 18.78 <br /> <br />¸19 <br /> <br /> Assessed fees : 377.14 <br /> Adjustments : .00 <br /> Total fees : ~77.14 <br />PAYEE: PDG To:el p~xme~ts: 14~.~8 <br /> <br />THIS IS NUT A PERMIT. THIS APPLICATION HUST GO THROUGH A SINULTAHEOUS REVIEN PROCESS <br />~g~ERE ZOHIN~. SEPTIC (IF APPLICABLE) A~ CONSTRUCT/OH PLANS ARE CHECKE~ PRIOR TO THE <br />ISSUANCE OF A PERNIT. IT IS THE RESPONSIBILITY OF THE APPLICAHT TO ASSURE THAT ALL <br />NECESSARY INFORMATION IS PROVIDED. AS SI~N AS ALL RE~UIREHENTS OF THE REVIEN HAVE <br />BEEN NET, YOU ¥ILL BE NOTIFIED THAT YOUR PERHIT H~S SEEN ISSUED. <br /> <br />E ] I am the PROPERTY OWNER and own~ reside in, or will reside in the completed <br /> sfructur~ and w~ll be my own general contractor. I understand that I must <br /> reqister as a construction con:rector if the structure is sold or offered for <br /> sale before or upoo completion. If I hire subcontractors, I will hire only sub- <br /> contractors registered with the Construction Contractors Board. If I change ~y <br /> m:iod and do hil'~ a general contractor who is reqistered, I will immediately <br /> ~o~ify Mario~ Co~n't~ of t:h~ ~aMe of the co.tractor. <br /> [ ~ I ~M the CONTRACTOR reoistered with the State of Oregon. <br />[~ I aM an AUTHORIZE~ REP~ESENTA-T. IYE of the proper~¥ owner or contractor. <br />S.I~NATIIRE OF APPLICANT: ~ ~-~. ~. <br />****************************************************************************** <br />DON ~ E WOOD[.EY, MARION COHNTY BUILDING OFFICIAL / BY CLYNCH <br /> <br /> <br />