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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 />APPLICANT <br /> ADDRESS <br /> <br /> PHONE <br />TOTAL SQ FEET <br /> <br />PERMIT NO <br />STATUS <br />ISSUED <br />TD EXPIRE <br /> <br />BUILDING PERMIT <br /> <br />08/31/99 10:0B <br />Commercial addition/alteration <br />U-2 <br />V-N <br /> <br />VALUATION <br /> <br />: FREE STANDING SIGN--REPLACEMENI <br /> <br /> 21690 DOLORES WY NE AR St: 4 <br /> <br /> BL: <br />ZONE: ID <br /> <br />PAGE <br /> <br /> LOT: <br />40331-088 MAP: 4 <br /> .00 AC <br />FUEL "N" MART PEP STOP <br />3246 NE BROADWAY <br />PORTLAND OR 97232 <br /> <br />281-1161 <br /> 1ST FLR: <br /> GARAGE: <br /> $25,000.00 <br /> <br />99-06701 <br />ISSUED <br />08/21/1999 <br />02/27/2000 <br /> 1 <br /> <br />LOCATOR: 041WO9ODUU2UO <br /> CITY: MARION COUNTY <br /> <br />LAND USE: <br /> <br /> OWNER : ISBERG RV PARK <br /> PHONE: 503-678-2646 <br /> CONTR : MULTI LIGHT BROADWAY SIGN CD <br /> PHONE: 281 3083 <br /> OCCB: 0064107 <br />2ND FLR: 3RD FLR: <br />BASEMENT: OTHER: <br />STORIES: HEIGHT: 65 <br /> <br />Units Description Fee <br /> 1,0 Building Fee 170.50 <br /> 1,0 Plan Review Fee 110.83 <br /> I State surcharge 11.94 <br /> I Zone surcharge 10.23 <br /> <br /> Assessed fees 303.50 <br /> Adjustments .O0 <br /> Total fees 303.50 <br /> PAYEE: Total payments: 302.50 <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 /> WRITTEN 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 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)373-4~427 <br /> <br /> <br />