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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br /> BUILDING PERMIT <br />03/05/98 07:22 <br />Resident. addition/alteration <br />R-3 <br />V-N <br /> <br />PERMIT NO <br />STATUS <br />ISSUED <br />TO EXPIRE <br />PAGE <br /> <br />98-00835 <br />ISSUED <br />03/04/1998 <br />08/31/1998 <br /> 1 <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />: ADDN I0 RESIDENCE <br /> <br /> 22050 BOONES FERRY RO NE AR <br /> <br />LUCATOR: 041WllA 014D0 <br /> CITY: MARION COUNTY <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br /> <br />APPLICANT <br />ADDRESS <br /> <br />PHONE <br />TOTAL SQ FEET <br /> <br /> VALUATION <br /> <br /> LOT: BL: <br />40390-000 MAP: 3 ZONE: EFU LAND USE: <br /> 1.91 AC <br /> <br />SHROCK,MIKE OWNER : SHROCK. MICHAEL <br />22050 BOONES FERRY RD NE PHONE: 678-2187 <br />AURORA, OR CONTR : <br /> 97002 PHONE: <br />678 2187 OCCB: <br /> <br />384 1ST FLR: 2N0 FLR: 3RD FLR: <br />GARAGE: BASEMENT: OTHER: <br />$24,829,44 STORIES: i HEIGHT: <br /> <br />Units Description Fee <br /> 1.0 Building Fee 170.50 <br /> 1.0 Plan Review Fee 110.83 <br /> i State surcharge 8.52 <br /> 1 Zone surcharge 8.53 <br /> <br /> Assessed fees 298.39 <br /> Adjustments .00 <br /> Total fees 298.39 <br />PAYEE: SHROCK,MIKE Total payments: 298,39 <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 T3 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 />DONALD E WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY CRICE~ <br /> <br /> Marion County Building Inspection <br /> 3150 Lancaster Dr. N.E.. Suite C Salem, Oregon <br />Office Hours: 8:00-4:30 <br /> <br />Phone: (503)588-5147 <br /> <br /> 97305-1398 <br />24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />