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BUILDING PERMIT <br />DATE/TIME 07/20/99 10~33 <br />TYPE Resident, addition/alteration <br />OCCUPANCY U-1 <br />CONST TYPE V-N <br />UGB: SITE: FD <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />: AUD'N TO BU 98-1D639-12 X 3b POLE BLDG <br /> 11225 EHLEN RD NE AR <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 />PERMIT NO 99-05126 <br />STATUS ISSUED <br />ISSUED 07/20/1999 <br />TO EXPIRE 01/16/2000 <br />PAGE 1 <br /> <br />LUCAIOR: 041W08 UD6UO <br /> CITY: MARION COUNTY <br /> <br /> LOT: BL: <br /> 40295-000 MAP: ZONE: EFU LAND USE: <br /> .00 AC <br /> M & W BUILDING SUPPLY CO OWNER : LANDSCAPE PLART DEV EXT:735 <br /> PO BOX 220 PHONE: 612-442-7460 <br /> AGENT: RANDALL OGLEVIE CONTR : M & W BUILDING SUPPLY CO <br /> CANBY, OR 97013 PHONE: 262-6953 <br />: 263-6952 OCCB: 0079450 <br /> 432 1ST FLR: 432 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br /> $6,772.76 STORIES: i HEIGHT: <br /> <br />Units Description Fee <br /> 1.0 Building Fee 62.50 <br /> 1.0 Plan Review Fee 40.63 <br /> 1 State surcharge 4.28 <br /> L Zone surcharge 3,75 <br /> <br /> Assessed fees : 111.26 <br /> Adjustments : -1.25 <br /> Total fees : 110.01 <br /> PAYEE: DGLEVIE RANDALL Total payments: 110.01 <br /> Balance due: .00 <br /> <br /> THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 1BO 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 own general contractor, t 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 />