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DWELLING PERMIT <br />~A?E/TI~E 07/29/99 14~07 <br />TYPE New Single Family Dwelling <br />OCCUPANCY R-3 <br />CONST TYPE V-N <br />UGB: SITEi FD <br /> <br />PERMIT NO <br />STATUS <br />ISSUED <br />TO EXPIRE <br />PAGE <br /> <br />99-04654 <br />ISSUED <br />07/29/1999 <br />01/25/2000 <br />1 <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br />PARCEL SIZE <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> PHONE <br />TOTAL SQ FEET <br /> <br />VALUATION <br /> <br />: NSFD--3 BEDRMS REPLACEMENI FOR SFD <br /> 19487 CASE RD NE AR <br /> <br />LOCATUR: 042W2B 00100 <br /> CITY: MARION COUNTY <br /> <br />41878-000 <br /> 4,7AC <br /> <br />LOT: BL: <br />MAP: 9 ZONE: EFU LAND USE: <br /> <br />BURNHAM DENNIS OWNER : BURNHAM,DENNIS A & ELENA <br />19517 CASE RD NE PHONE: <br />AURORA DR 97002 CONTR : <br /> PHONE: <br />678-1847 OCCB: <br /> 2,873 1ST FLR: 2032 2ND FLR: 1139 3RD FLR: <br /> GARAGE: 702 BASEMENT: OTHER: <br /> 216,458.40 STORIES: 2 HEIGHT: 25 <br /> <br />Units Description <br /> Residential building fee <br /> 1,0 Plan review fee <br /> i Residential plumbing fee <br /> 1 Residential mechanical fee <br /> i Residential electrical fee <br /> i State surcharge <br /> 1 Zone surcharge <br /> <br />Fee <br /> 716.51 <br /> 464.76 <br /> 348.57 <br /> 154.92 <br /> 348.57 <br /> 78.43 <br /> 30.00 <br /> <br /> Assessed fees 2,331,76 <br /> Adjustments 4190,00 <br /> Total fees 2,141,76 <br />PAYEE: Total payments: 2.141,76 <br /> Balance due : ,00 <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUE DATE IF WORK HAS <br />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, 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 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 /> contractos 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 the AUTHORIZED REPRESENTATIVE of the property~w~er or contractor. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> Marion County Building Inspection <br /> 3150 Lancaster Dr. N.E., Suite C Salem, Orggon 97205-1398 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 24-hr Inspection Line: (503)373-~27 <br /> <br /> <br />