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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 />DATE/TIHE <br />TYPE <br />OCCP~CY <br />COHST TYPE <br /> <br /> BIJILD[HG APPL]~C~TIOH <br />S2/B?/90 16=21 <br />Resident. addition/alteration <br />R-3 <br />V-H <br /> <br />ACTIVITY HO = 98-~B835 <br />STATUS = APPLIED <br />P. PPLZED : ~2/B2/1998 <br />TO EXPIRE ~ ~8/01/9g <br /> <br />WORK ~E~ ..... ~-~R-T~-R~R~E ............................... <br />SZTE ADDRESS : CITY: MARION COUNTY <br /> 22850 80ONES FERRY RD NE AR <br /> <br />SUBDIVISION : LOT: BLOCK: <br />TAX ACCOHNT : 40~90-880 MAP: ~ ZONE: EFU <br /> PARCEL SIZE : 1.91 AC <br /> <br />LANg USE: <br /> <br />APPLICANT ~ SHRO~K.MIKE OWNER: SHROCK, MICHAEL <br />ADDRESS : 22858 BOONES FERRY RD NE CONTR: <br /> AHRORA, OR OCCB: <br /> 9708? <br /> <br />PHONE : 47S-2i~7 <br /> <br />TOTAL SO FEET : <br /> <br />384 ]ST FLR: <br /> GARAGE: <br /> <br />VALUATION : $24,829.44 <br /> <br />2ND FLR: 3RD FLR: <br />BASEMENT: OTHER: <br />STORIES: 1 HEIGHT: <br /> <br />Units Description Fee <br />1.0 Build~ ng Fee 178.50 <br />1.0 PlaM Review Fee 118.83 <br />1 State surcharge 8.53 <br />1 Zone surcharge 8.53 <br /> <br /> Assesse~ fees : 298.39 <br /> Adjustments : .00 <br /> Total fees : 298.39 <br />PAYEE: SHROCK, MIKE Total payments: 298.39 <br /> Balance due : <br /> <br />THIS IS NOT A PERHIT. THIS APPLICATION HUST gO THROUGH A SIHULTAHEDUS REVIE# PROCESS <br />IJliERE ZOHIHG, SEPTIC (IF APPLICABLE) AHD COHSTRUCTIOH PLANS ARE CHECKED PRIOR TO T~ <br />ISSUANCE OF A PEP. HIT. IT IS THE RESPOHSISILITY OF THE APPLICAHT TO ASSURE THaT ALL <br />#ECESS~RY IHFUR~TIUR IS PROVIDED. AS ~ A5 ~ REI~JIREHEHTS OF THE RETIE# HAVE <br />SEEH ~fl;T, YOU #ILL ~E NOTIFIFD THAT YOUR PL:I~HIT ~ SEEH ISSUED. <br /> <br />[~3 I am the PROPERTY OWNER and own, reside in, or will reside in the completed <br /> structure and will be my own genera] contractor. I understand that I ilL, st <br /> reoister as a construction co~tractor 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 Coun.y of ~he name of the contractor. <br />[ ] I am ~he CONTRACTOR re?stared with the State of Oregon. <br />[ ] I am an AHI*HORIZE? REPRESEJ~AT~IVE/~f~H~e ~e~ty. owner or contractor. <br />SIGHATURE OF APPLICANT. [/~ ~ /~-~. ~l~~'~' <br />********************************--****************************************** <br />PONAI,,D E WOOP[.~Y~ ~AR~ON COONTY ~U~LD~N~ OFFICIAL / BY M~EYER <br /> <br /> <br />