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MARION COUNl BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE * Room 132 · Salem, Oregon 973014670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br /> DWEL. LIN& APPLICATION <br />DATE/TIME : 8?/25/?5 1&=I§ ACTIVITY MO : ?5-14724 <br />TYPE New $i.§le Family D#elling STATUS : APPLIED <br />CLASS ~ i-Family D~ellin9~ detached APPLIED = 88/81/1995 <br />OCCUPANCY : R-3 TO EXPIRE = 81/28/1996 <br />CONSTRUCTION : V-N PAGE 1 <br /> <br />VALUATION : $168~96~. 74 <br /> <br />WORK DESC : NDP/ SFPTIC 95-527 INSTALLED <br /> <br />SITE AgDRESS : CITY: MARION COUNTY <br /> 5~77 SHAW CENTER PL SE AM <br /> <br />CROSS STREET : SHAW SQ <br /> <br />PARCEL NLJHBER <br />PARCEl. SIZE : 4.2 <br /> <br />OWNER NAME : WILLIAMS,FRANKLIN <br /> <br />APPLICANI' <br /> NAME <br /> <br />PHONE <br /> <br />CONTRACTOR/ <br /> AGENT <br /> PHONE <br /> <br />: WILLIAHS~ FRANKLIN D <br />: §977 SHAW CENTER PL SE i <br /> AUMSV~LLE~ OREGON <br /> 77~25 <br />.- ~99-~145 <br /> <br />WIL. LIAMS~ FRANKLIN <br /> <br />OCCB; <br /> <br />BUILDING SO Fl': S~ 125 STORIES~ 1 <br /> Un ~ ~.. Des~r ~ ~ ~ . : <br /> [,0 Reeife~'~!la[ builOin§ fee; <br /> 1.0 Pl, an review fee <br /> i Residential plumbing feei <br /> 1 Resident:i, mi Me¢:hanicel fee <br /> 1 Residential electrical fee <br /> 1 State surcharge <br /> 1 Zone surcharge <br /> <br />HEIGHT: 24 <br /> <br />F~e <br /> <br /> 296.88 <br /> 283.13 <br /> 62.50 <br /> 187.50 <br /> 49.22 <br /> 28,,00 <br /> <br /> Assessed fees 1,35~.48 <br /> Adjustments .00 '1~ ~ f <br /> Total fees . 1~Z50.48 <br />· Total paxments. <br /> <br />THIS IS NOT A PERMIT. THIS APPLICATION HUST GO THROUGH A SIMULTANEOUS REVIEW PROCESS <br />MHEREZONING. SEPTIC (IF APPLICABLE)AND CONSTRUCTION PLANS ARE CHECKED PRIOR TO THE <br />ISSUAHCE OF A PERHIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />HECESSARY INFORMATION IS PROVIDED.: AS SOON AS ALI_ REQUIREMENTS OF THE REVIEW HAVE <br />BEEN NET~ YOU WILL BE NOTIFIED THAT YOUR PERMIT HAS BEEN ISSUED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />************************************************************************************* <br />DONALD E ~(]DLEY~ MARION C~UNTY BUIgDING OFFICIAL / BY DFREILIN <br /> <br />................................................. FOR OFFICE USE ONLY ....................................................................... <br /> <br />MAI:':: 49R ZONE: AR PROPERTY L. OCATOR: 082W13C 05700 <br /> <br />R~O SET~ACKS: Front: I.eft: 10 Rigl¥~: 1.0 ]Bear: Speciai: <br />PL. AH R~VIEW ; DATE: ZONING REVIEW; DATE: <br /> <br /> <br />