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MARION COUNTY BUILDING INSPECTION <br /> <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 /> BUILDING PERNIT <br />DATE/TIHE = 12/22/97 1&=31 PERMIT HO = 97-09415 <br />TYPE = Resident. addition/alteration STATUS = ISSUED <br />OCCUPAHCY : U-1 ISSUED : 12/22/1997 <br />COHST TYPE : V-N TO EXPIRE = S6/2S/1798 <br /> PAGE 1 <br />WORK ~E~ ..... T-~ROP¥-~TT~RE~-TO-MO .................... EO~TORTI~IQIIBD~3~--- <br />SITE ADDRESS : CITY: MARION COUNTY <br />22~25 CAMELLIA AV NE AR <br /> <br />SUBDIVISION : DEER CRK EST LOT: 2 BLOCK: <br />'TAX ACCOUNT : 71018-880 HAP: ~R ZONE: AR LAN~ USE: <br /> PARCEt. SIZE : .88 AC <br /> <br /> : STANTON GARY & E MARIE OWNER: STANTON 01~1789 <br /> <br />APPLICANT <br />ADDRESS : PO BOX 174 <br /> AURORA OR <br /> <br /> PHONE : 503-678-~497 <br /> <br />TOTAL S~ FEET : 188 1ST FLR: <br /> GARAGE: <br />VALUATION : $1,1B4.08 <br /> <br /> Units Description <br /> 1.M Bu~ld~ng ~ee <br /> 1.0 Plan Review Fee <br /> 1 State s~rcharge <br /> 1 Zone surcharge <br /> <br /> GARY & E MAROCCB: <br />CONTRACTOR: PQA CONSTRUCTION INC <br /> <br />97~02-8t74 <br /> <br />180 2ND FLR: ~RD FLR: <br />BASEMENT: OTHER: <br />STORIES: 1 HEIGHT: <br /> <br />Fee <br /> <br />10 <br /> <br />20.50 <br />13.33 <br /> 1.83 <br /> 1.03 <br /> <br /> Assessed fees : 35.89 <br /> Adjustments : .00 <br /> Total fees : 35.8~ <br />PAYEE: STANTON GARY & E MARIE Total payMenss: 35.8? <br /> Balance due: .00 <br />THIS PERNIT IS NON-TRANSFERABLE AND EXPIRES 1SS DAYS FRON ISSUED DATE IF WORK <br />NAS HOT COHI4EHCE])~ OR IF CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF WORK <br />FAILS TO NEET ALLREQUIREHENTS OF STATE LAWS AND HARION COUNTY ORDINANCES. UPON <br />WRITTEH REQUEST~ ONE SIX HI)NTH EXTEHSIOH HAY BE GRANTED. <br /> <br />[ ] I aM the PROPERTY OWNER and own, reside in, or' will reside in the completed <br /> structure ~nd will he ny own general contractor. I understand that I Must <br /> registe~ 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 Coostruction Contractors Board. If I change My <br /> mind and do hire a general ~ontractor 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 /> ] 1 am an AUTHORIZED REPRESENTATIVE of the property owner or contractor.. <br /> <br />SIGNATURE O~ APPLICANT: <br /> <br />OF ~A l) E WOOOLEY~ MARION COUNTY BUILOING OF~I£IAL / BY PMUNRO~'~ <br /> <br /> <br />