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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) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> ~I~ING APPLICATION <br />DATE/TIHE = 12/16/~7 ~O:SB ACTIVITY NO = 97-89844 <br />TYPE = Commercial addition/alteration STATUS ; APPLIED <br />OCCPAHCY : B APPLIES : 12/16/1777 <br />CONST TYPE = V-N TO EXPIRE = BI4/I??S <br /> <br />WORK ~ESC ..... <br />SITE ADDRESS : CITY: AUMSVILLE <br /> <br />140 STH ST AH <br /> <br />SUBDIVISION r LOT: BLOCK: <br />TAX ACCOUNT : 57691-~08 MAP: <br /> PARCEL SIZE : .~ AC <br /> <br />ZONE: RM LAND USE: <br /> <br />PHONE <br /> <br />APPLICANT : CAPITOL CONCRETE OWNER: CAPITOL CONCRETE <br />ADDRESS : 148 8TH ST CONTRACTOR: OCCB: <br /> KENNETH A GARCIA <br /> AUNVILLE OREGON <br /> : 585-7678 <br /> <br />TOTAL, SO FEET : <br /> <br />97325 <br /> <br />VALUATION : <br /> <br /> 1ST FLR: 2N~ FLR: 3RD FLR: <br /> ~ARAGE: BASEMENT: OTHER: <br />$4,068.88 STORIES: 1 HEIGHT: <br /> <br />Uni~ ~escript'ion Fee <br /> B Building Fee ..... ---4""4~J <br /> 1.8 Plan Review Fee 28.73 <br /> I State surcharge 2.2~ <br /> <br /> Assessed fees : 75.66 <br /> Adjustments : .~8 <br /> Total fees : 75.66 <br />PAYEE: CAPITOL CONCRETE Total paxMents: <br /> Balance due : 75.66 <br /> <br />THIS IS i'~T A PERHIT. TH~S APPLICATIOH HUST ~0 THROUGH A SIHULTANEOUS REVIEM PROCESS <br />WHERE ZDHING. SEPTIC (IF APPLZCAJIt. E') ~HD COHSTRUCTION PLAHS ARE CHECKE~ <br />ISSUANCE OF A PERHIT. IT ~S THE RESPOHSIBILITY OF THE APPLICA~iT TO ASSURE <br />NECESSARY ~NFORHATION I9 PROVI'~'~. AS SOON A5 ALL REGUIREHENTS OF THE REVIE# HAVE <br />BEEN HET, YOU #ILL BE NOTZF~E~ THAT YOUR PERHIT ~ BEEN ISSUES. <br /> <br />[ ] I am the PROPERTY OWNER and own, reside in, or will reside in the completed <br /> structure and will be My o~n general cootractor. I u~derstand that I Must <br /> reqister as a construction contractor if the structure is sold or offered for <br /> sale before or upon completion. If I hire subcontractors, I will hire only sub- <br /> contractors registered with the Construction Contractors Board. If I change My <br /> Mind and do hire a general contractor who is registered, I will immediately <br /> ~otify Na[~ County of t~e n~Me of the con?acCo[. <br />[ ] i am.the ~o~mRACTOR regis~ere0 with the Sta~e OT uregon. <br />[ ] I am an AUTHORIZES REPRESENTATIVE of the property owner or contractor. <br />SIGNATURE OF APPLICANT: <br /> <br />DONAL~ E WOODLEY, MARION COIJNTY BUILDING OFFICIAL / BY CLYNCH <br /> <br /> <br />