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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br /> BUILDING PERMIT <br />05/21/99 11:35 <br />Commercial addition/alteration <br />A-3 <br />V-N <br /> <br />PERMIT N~ <br />STATUS k,...Z ISSUED <br />ISSUED ~uo/~/~ <br />TO EXPIRE : 11/17/1999 <br />PAGE : 1 <br /> <br />WURK DESC <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br />APPLICANT <br /> ADDRESS <br /> <br /> PHONE <br />TOTAL SQ FEET <br /> <br />VALUATION <br /> <br />: RLBUILU PARI OF EXISTING DECK <br /> <br /> 46 FOREST SERVICE RD NE DT <br /> <br />LUCAIOM: D~/E2DA UO2UO <br /> CITY: MARION COUNTY <br /> <br /> LOT: <br />668&4-000 MAP: 102R <br /> 86,00 AC <br />BREITEBUSH HOT SPRINGS <br />PO BOX.578 <br />DETROIT, OR <br /> 97342 <br />854-3320 <br />860 1ST FLR: <br /> GARAGE: <br />$6,450.00 <br /> <br /> BL: <br />ZONE: TC LAND USE: <br /> <br /> OWNER : BREITEBUSH HOT SPRINGS <br /> PHONE: 854-3220 <br /> CONTR : <br /> PHONE: <br /> OCCB: <br />2ND FLR: 3RD FLR: <br />BASEMENT: OTHER: <br />STORIES: HEIGHT: <br /> <br />Units Description Fee <br /> 1.0 Building Fee 62.50 <br /> 1.0 Plan Review Fee 40.62 <br /> 1 State surcharge 3.12 <br /> 1 Zone surcharge 3.75 <br /> <br /> Assessed fees : 110.01 <br /> Adjustments : .00 <br /> Total fees : 110.01 <br />PAYEE: Total payments: 183.93 <br /> Balance due: -73.92 l~a <br /> <br />THIS PERMIT IS NON-TRANSFERARLE 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 />WRI1-FEN REQUEST PRIOR TO EXPIRATION, ONE SIX MONTH EXTENSION MAY BE GRANTED. <br /> <br />[ ] I am the PROPERLY( OWNER and own, reside in. or will reside in the completed <br /> structure and will be my own 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 /> DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY PBREMER~ <br /> Marion Count~ 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 />