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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UG8: SITE: <br /> <br />WORK 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 /> BUILDING PERMIT <br />08/I1/99 16:29 <br />Residential accessory struct <br />U-1 <br />V-N <br /> <br />PERMIT NO <br />STATUS <br />ISSUED <br />TO EXPIRE <br />PAGE <br /> <br />99-06182 <br />ISSUED <br />08/11/1999 <br />02/07/2000 <br /> 1 <br /> <br />RESIDENTIAL POLE BL~ W/SLAB <br />8643 SHAW SQUARE SE AM <br /> <br />LOCATOR: 082W13C 03400 <br /> CITY: MARION COUNTY <br /> <br /> LOT: <br />75300-670 MAP: 49R <br /> 1.00 AC <br />BERKEY TIMOTHY <br />4932 KALE ST NE <br /> <br />SALEM, OR 97305 <br />390-1066 <br /> 720 1ST FLR: <br /> GARAGE: <br /> $11,289.60 <br /> <br /> BL: <br />ZONE: AR LAND USE: <br /> <br /> OWNER : PHILLIPS ROB <br /> PHONE: N/A <br /> CONTR : 8ERKEY TIMOTHY <br /> PHONE: 390-1056 <br /> OCCB: 0091866 <br />2ND FLR: 3RD FLR: <br />BASEMENT: OTHER: <br />STORIES: HEIGHT: <br /> <br />14 <br /> <br />Units Description Fee <br /> 1,0 Building Fee 92.50 <br /> 1.0 Plan Review Fee 60.13 <br /> 1 State surcharge 6.48 <br /> i Zone surcharge 5.55 <br /> <br /> Assessed fees 164.66 <br /> Adjustments .00 <br /> Total fees 164,66 <br /> PAYEE: Total payments: 164.66 <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 /> WRITIEN REQUEST PRIOR TO EXPIRATION, ONE SIX MONTH E~TENSION 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 ~s 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 aub- <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 /> DONALD E WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY DSTONE~*/~:~:~ <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-~4~7 <br /> <br /> <br />