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BUILDING PERMIT <br /> <br />DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />04/13/99 12:04 <br />Change of Occupancy <br />U-1 <br />V-N <br /> <br />PERMIT NO <br />STATUS <br />ISSUED <br />TO EXPIRE <br />PAGE <br /> <br />99-02607 <br />ISSUED <br />04/13/1999 <br />10/10/1999 <br /> 1 <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />: CHANGE OCCUPANCY UF GUESI HOUSE TO SIDI~J~GE <br /> 9184 GOLF CtUB RD SE P~q <br /> <br />LUCATOR: D91WU4B DO4UO <br /> CITY: MARION COUNTY <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br />APPLICANT <br /> ADDRESS <br /> <br /> PHONE <br />TOTAL SQ FEET <br /> <br /> BL: <br />ZONE: EFU LAND USE: CU 93-97 <br /> <br /> LOT: <br />60453-000 MAP: 60 <br /> 1.88 AC <br />FUSON DESMOND H OWNER : FUSON.DESMOND H & EVELYN <br />9184 GOLF CLUB RD PHONE: <br />AUMSVILLE OR 97325 CONTR : <br /> PHONE: <br />769-9854 OCCB: <br /> 1ST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br /> <br />VALUATION $,00 STORIES: i HEIGHT: <br /> <br /> Units Description Fee <br /> I Change of Occupancy 50.00 <br /> I Zone surcharge 3.00 <br /> <br /> Assessed fees 53.00 <br /> Adjustments .00 <br /> Total fees 52.00 <br /> PAYEE: Total payments: 52.00 <br /> Balance due: .00 <br /> <br /> THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUED DATE IF WORK <br /> HAS NOT COMMENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF WORK <br /> FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES, UPON <br /> WRI~EN REQUEST PRIOR TO EXPIRATION, ONE SIX MONTH EXTENSION MAY BE GRANTED. <br /> <br /> [ ] I am the PROPERTY OWNER and own, reside in, or will reside in the completed <br /> structure and will be my ovzn general contractor, I understand that I must <br /> register 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 /> notify Marion County of the name of the contractor, <br /> [ ] I am the CONTRACTOR registered with the State of Oregon. <br /> [ ] I am an AUTHORIZED REPRESENTATIVE of the property owner or contractor. <br /> <br /> SIGNATURE OF APPLICANT: <br /> <br /> Marion County Building Inspection <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 /> <br />