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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br /> BUILDING PERMIT <br />09/28/99 12:03 <br />Commercial addition/alteration <br />U-2 <br />V-N <br /> <br />PERMIT NO <br />STATUS <br />ISSUED <br />TO EXPIRE <br />PAGE <br /> <br />99-06772 <br />ISSUED <br />09/28/1999 <br />03/26/2000 <br /> 1 <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 />: SCALE SIGN ON BENIZ RD <br /> <br /> 21856 BENTS RD NE AR <br /> <br /> LOT: <br /> 40327-000 MAP: 4R <br /> . O0 AC <br /> SALEM SIGN CO INC <br /> AGENT'. COREY SPADY <br /> 1825 FRONT ST NE <br /> SALEM OREGON 97202-66 <br /> 371-6362 <br /> ]ST FLR: <br /> GARAGE: <br /> $1,000.00 <br /> <br />LUCAIOR: U41WO9 U1100 <br /> CITY: MARION COUNTY <br /> <br /> BL: <br />ZONE: ID LAND USE: <br /> <br /> OWNER : NATIONAL AUTO TRUCKSTOPS <br /> PHONE: <br /> CONTR : SALEM SIGN CO INC <br /> PHONE: 271-6362 <br /> OCCB: 0065297 <br />2ND FLR: 3RD FLR: <br />BASEMENT: OTHER: <br />STORIES: HEIGHT: 21 <br /> <br />Units Description Fee <br /> 1.0 Building Fee 17.50 <br /> 1,0 Plan Review Fee 11.28 <br /> i State surcharge 1.23 <br /> i Zone surcharge 1.05 <br /> <br /> Assessed fees : 31.16 <br /> Adjustments : ,00 <br /> Total fees : 31.16 <br /> PAYEE: Total payments: 31.16 <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 /> 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. 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 <br /> mind and do ~ire a general contractor who is registered, I will immediately <br /> notify Marion County of the name of the contractor. <br /> [ ] I am the CONll~qCTOR 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 /> DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY JSKYBERG <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-z~27 <br /> <br /> <br />