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v <br /> <br />MARION COUNTY BUILDING iNSPECTION <br /> <br /> 3150 LancaMer Dr. N.E. · Suite C · Salem, Oregon 97305-1398 <br />Office Houm: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspeotlon Line: (503) 373.4427 <br /> <br /> · ELLII~ PERItIT <br />T~i~/TIHE : ~2/~9/98 14:27 ~IT <br /> ; ~ Single Family ~elii~ ST~T~ <br /> <br /> P~ 1 <br />SITEHOR~h~DRES~g~ ..... [-R~F[~ . " ....................................... [O~T~rCITYo' ....... H~RIOHeS1H18-2OgSeeC~UHTY <br /> 9832 JORDAN ST SE AM <br /> <br />T~X ACCOUNT ~ 5~85-~ HAP~ 46R ZONE~ EFU L~HD USE~ <br />PARCEL SiZE J .~AC <br /> <br />APPI. ICAHT : COX CONSTRUCTION THC <br />ADDRESS : PO BOX 384 <br /> <br />OWNER: GARCIA KEN <br />CONTR= COX CONSTRUCTION INC <br /> <br /> SILVERTON, OR 97381 <br /> PHONE : 873-8528 <br />TOIAL SO FEET : 3s476 1ST FLR: <br /> GARAGE: <br />VALUATION : 274~758.16 <br /> <br /> Uni[~i Description <br /> ~sident;al builOlng fee <br /> 1,~ Plan review fee <br /> ! Residential plumbing fee <br /> I Residential mechanical fee <br /> Residentialelectrical fee <br /> I State surcharge <br /> 1 Zone surcharge <br /> <br />22~B <br /> <br />OCCB: BIOBSB7 <br /> <br />2ND FLR: 1276 3RD FLR: <br />CASEMENT: OTHER: <br />STORIES: 1 HEIGHT: 24 <br /> <br />Fee <br /> 64~.B6 <br /> 417.12 <br /> 243.32 <br /> 76.47 <br /> 236.37 <br /> 59.76 <br /> 20.00 <br /> <br /> Assessed fees : 1,696.~B <br /> Adjustaents : <br /> Total fees : 1,696.30 <br />PAYEE: COX CONSTRUCTION INC Total payments! <br /> <br />F~I ....... , .~. _ _ 088TffiJ~ CE~8~S FOR & P~IG90FIS~ 9hYS. OR IF #ORK <br />~l~ ~ ~ 5IX ~TH EXT~IOH ~Y BE ~. <br /> <br />[ 3 I a~ the PROPERTY O~N~R and o~n~ reside zn, or ~ill reside in the completed <br /> structure an~ ~Jll be ~y o~n general contractor. I understand that I must <br /> register ~s a construction cofftr~ctor if the structure is sold or offered for <br /> ~ale before oF ~pon completion. If I hire subcontractors, I ~ill hire only ~b- <br /> contractos registered with' the C~struction Contractors B~ard. If I Change <br /> mind and do h~re a general contractor who ts registered, ~ wiII taeed~ateiy <br /> pot~fy Mar~on County of the name of the contractor. <br /> 3 I am the CONTRACTOR registered with the State of Oregon. <br />C ] ~ am the AOTHOR[ZED REPRESENTATIVE of the property owner or contractor. <br /> <br />SIGNATURE OF APPLI~NT: <br />******************************************************************************** <br />OONA[D E. WOOOLEY, MARION COUNTY BUILDING OFFICI~ / BY MBULL <br /> <br /> <br />