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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Chumh Street NE * Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> D#ELLING APPLICATION <br />DATE/TIldE = 99/12/96 12=46 ACTIVZTY HO = 96-B7198 <br />TYPE = ~e~ Si~gi; Family D~e~li~g. STATUS : APPLIED <br />CLASS = i-family u~elling, aetacnea RPPLIED : 99/12/1996 <br />OCCUPANCY = R-3 TO EXPIRE = 93/11/1997 <br />COHSTRUCTION : V-H PAGE 1 <br /> <br />VALUATION : $2~5~517.50 <br />WURK DESC : NEW DWELLING <br /> <br />SITE ADDRFSS : CITY: MARION COUNTY <br /> 8784 BROADACRES RD NE AR <br /> <br />CROSS STREET : CASED RD NE <br /> <br />PARCEL NUHSER : 41853-000 <br /> PARCEL SIZE : 11.08 <br /> <br />OWNER NAME : MILLER,ROBERT H <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />PHONE <br /> <br />MIL~ER. ROBERT H <br />744u CROSBY RD NE <br />WOODBURM <br />OR <br />981-4158 <br /> <br />97071 <br /> <br />CONTRACTOR/ : OCCB: <br />AGENT : MILLER,ROBERT H <br />PHONE : <br /> <br />BUILDING SQ FT: 4~7~5 STORIES: 2 HEIGHT: 2 <br /> <br />Units [)ascription <br />-----l'"J"~'- Residential building <br />1.0 Plan review fee <br />i Reside~t:ia~ plumbing fee <br />i Residential MechaniCal fee <br />~ Residential electrical fee <br />I 8tare surcharge <br />I Zone surcharge <br /> <br />Fee <br /> <br /> 568.28 <br /> 3J1.45 <br /> 184.17 <br /> 321.98 <br /> 81.68 <br /> 20.00 <br /> <br /> Assessed fees 2,301~. 46 <br /> Adjus IJ,~ents .00 <br /> Total fees 2,303.46 <br />PAYEE: M'I:LI ER,ROBERT H Total payments: 2,30~.46 <br /> Balance due : .00 <br /> <br />THIS ZS ~T ~ PERHZT. THZS APPLZCAT~OH HUST CO T~OUGH ~ SZHULTANEOUS REVZE~ PROCESS <br />~HERE ZOHZH~. SEPTZC (ZF APPLZCA~E) AND COHSTRUCT~ PLRHS ARE CHECKED PRZOR TO THE <br />[SSUA~E OF ~ ~RHZT. ~T ~S THE RESPONSiBiLITY ~ THE ~PPLZC~HT TO ~SSURE THAT ALL <br />HECES~RY [HF~HATZOH [S PROVZgED. ~ SOON RS ALL REOU/REHENTS OF THE REV~E~ HAVE <br />8E~ HET~ Y~ ~[LL ~E ~TZF[~ T~ YOUR BEEHZT ~S ~EEH <br /> <br />S"GNATICE DF APPLS~ANT:/ --~ <br /> <br />DONALD E WOOI)I.EY, MAR~r)N COUNTY BU.[LO'lNG OFFICIAL / BY MBUL. L <br /> <br />............................................... FOR OFFI'CE I. ISE ONLY <br />f;ITE / UG8~ F~ <br />MAP~ 9 7ON&: EFU PROPERTY LOCATUR: 842W25 <br /> <br />REQD SET~ACKS: Front: Left: ~99 Right: 999 Rear: 999 Special: <br /> <br />PLAN REV'[FW : DA"i~:: ZHNIN~ REVIEW: DATE: <br /> <br /> <br />