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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br /> <br />APPLICANT <br />ADDRESS <br /> <br />0B/18/99 09:52 BUILDING APPLICATION <br />Commercial addition/alteration ACTIVITY NO <br />U-2 STATUS <br />V-N APPLIED <br /> TO EXPIRE <br /> <br />99-06772 <br />APPLIED <br />08/18/1999 <br />02/14/2000 <br /> <br />: SCALE SIGN UN BENTZ RD <br /> <br /> 21856 BENTS RD NE AR <br /> <br />LUCAIOR: 041W09 01100 <br /> CITY: MARION COUNTY <br /> <br /> LOT: <br />40337-000 MAP: 4R <br /> .00 AC <br /> <br /> Si N co INC <br />SALEM <br />AGENT: COREY SPADY <br />1825 FRONT ST NE <br />SALEM OREGON 97303-666 <br />371-6362 <br /> <br /> BL: <br /> ZONE: ID LAND USE: <br /> <br />OWNER : NATIONAL AUTO TRUCKSTOPS <br /> PHONE: <br />CONTR : SALEM SIGN CO INC <br /> PHONE: 371-6362 <br /> OCCB: 0065297 <br /> <br /> PHONE <br /> <br />TOTAL SQ FEET : 1ST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br />VALUATION : $1.000.00 STORIES: I HEIGHT: 21 <br /> <br />Units Description Fee <br /> 1.0 Building Fee 17.50 <br /> 1.0 Plan Review Fee 11.38 <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 IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A SIMULTANEOUS REVIEW PROCESS <br /> WHERE ZONING. SEPTIC (IF APPLICABLE) AND CONSTRUCTION PLANS ARE CHECKED PRIOR TO THE <br /> ISSUANCE OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br /> NECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW HAVE <br /> BEEN MET, YOU WILL BE NOTIFIED THAT YOUR PERMIT HAS BEEN ISSUED. <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 my <br /> mind and do hi re a general contracto~who is registered, I will immediately <br /> notify Marion County of the name of/[he contractor. <br /> [ ] I am the CONTRACTOR regist~/red wit/~ the State of Oregon. <br /> [~(] I am an AUTHORIZED REPRE~NTA_T, IVE/of~the property owner or contractor. <br /> SI~ATURE OF APPLICANT: <br /> <br />CALL BEFORE YOU DIG...IT'S THE LAW. /Or~m~n/law requires you to follow the rules adopted by <br />the Oregon Utility Notification Cent'er (50~-232-1987) <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 />