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DATE/TIME <br />TYPE <br />OECUPANCV <br />CONST TYPE <br />UGB: SITE: <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br />APPLICANT <br /> ADDRESS <br /> <br />BUILDING PERMIT <br /> <br /> PHONE <br />TOTAL SQ FEET <br /> <br />08/04/99 08:16 PERMIT NO <br />New Commercial STATUS <br />S 3 ISSUED <br />V N TO EXPIRE <br /> PAGE <br /> <br />99-04511 <br />ISSUED <br />08/03/1999 <br />01/30/2000 <br /> 1 <br /> <br />: POLE BLDG W/SLAB FOR SIRGE VEHICLES & JANIT SUPPLY LOCATOR: 041W22B 01500 <br /> <br />20237 GRIM RD NE AR <br /> <br /> LOT: <br />40905-000 MAP: 5R <br /> 22.88 AC <br />NORTH MARION SCHOOL DISTRICT <br /> <br />VALUATION <br /> <br />N/A <br /> 2.400 1ST FLR: <br /> GARAGE: <br /> $37,632.00 <br /> <br />2400 <br /> <br />CITY: MARION COUNTY <br /> <br /> BL: <br />ZONE: EFU LAND USE: <br /> <br /> OWNER : NORTH MARION SCHOOL DIST NO 15 <br /> PHONE: <br /> CONTR : SCHAFFNER DOUGLAS A <br /> PHONE: 651-2021 <br /> OCCB: 0113241 <br />2ND FLR: 3RD FLR: <br />BASEMENT: OTHER: <br />STORIES: HEIGHT: 16 <br /> <br />Units Description Fee <br /> 1.0 Building Fee 229.00 <br /> 1.0 Plan Review Fee 148.85 <br /> i State surcharge 16.03 <br /> 1 Zone surcharge 13.74 <br /> <br /> Assessed fees 407.62 <br /> Adjustments -3.58 <br /> Total fees 404.04 <br /> PAYEE: Total payments: 404,04 <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 /> WRITTEN REQUEST PRIOR TO EXPIRATION. ONE SIX MONTH EXTENSION MAY BE GRANTED, <br /> <br /> [ ] I am the PROPERTY OWNER and ewn, 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 hi re 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 />FILE <br /> <br /> <br />