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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lanc~mter Dr. N.E. · Suite C * Salem, Oregon 97305-1398 <br />Office' Hour~: 8:00-4:30 · Phone: (503) 588-5147 * 24-HR Inspection Line: (503)3734427 <br /> <br /> D~ELLIN[ APPLICATIOH <br /> <br />TYPE : Hew Single Family Dwelling STATUS APPLIED <br />UCCUPAHCY : R-3 APPLIED ~ 6t/2'B/179~ <br />COHST TYPE : ¥-H TO EXPIRE = 87/19/1798 <br />WORK l~C-?--- ,;- R~'g-~g;l~[ .................................... <br />~ITE ADDRESS--. ~ CITY: NARIONCOUNTY <br /> <br />9832 JORDAN ST SE AH <br /> <br />SUgDIVISIUN : <br />TAX ACCUUNT = 56685~688 <br />PARCEL SIZE : .6B <br /> <br />APPLICANT : COX CONSTRUCTION INC <br />A~B~8 : PO BOX 3B4 <br /> <br />LOT: <br />HAP: 46R <br /> <br /> 8ILVERTOH~ OR 77381 <br />PHONE : 873-8528 <br /> <br />TOTAL SQ FEET : 3,4?6 1ST FLR: <br /> ~ARACE: <br />VALU~TIOH : 224~758.16 <br /> <br />Unit~ Description <br /> ! ~ ReslOential bui'id'leg fee <br /> Plan ~ev~e~ fee <br /> 1 <br /> 1 <br /> 1 <br /> <br /> 1 <br /> <br />Residential plumbing fee <br />Residential mechanical fee <br />Residential electrical fee <br />State surcharge <br />ZOne surcharge <br /> <br />BLOCK: <br /> ZONE: EFU LAND USE: <br /> <br />OWHER: GARCIAKEN ' <br />CONTR: COX COh~TRUCTIDNINC <br /> OCCD: 816~87 <br /> <br />2Hit FLR: <br />IA~SEHENT~ <br />STURIES: <br /> <br /> 3RD FLR: <br /> UTHER: <br />I HEIGHT: <br /> <br /> Fee <br /> 643. U6 <br /> <br /> 243.32 <br /> 7~.4~ <br /> 23~.37 <br /> 59.96 <br /> <br />24 <br /> <br /> Assessed fees '- 1,6~6.36 <br /> AdSustments . ~B <br /> Total fees <br /> 1,696.38 <br /> 1,696.36 <br />PAYEE: COX CONSTRUCTIOH INC Total pa]~ments:. <br /> Balance due . .66 <br />~RSEI~S ~T ~ PER~IT. ~;5 ~PPLIC~TIOH ~UST ~G T~UgH ~ SI~T~S REVIEW <br />SS E Z~I~ SEPTIC (IF ~PPLIC~E) ~ C~T~CTIO~ PL~HS ~ ~ PR~ TO THE <br />~EC~E OF ~ PERMIT. IT IS THE RE~IBILI~ ~ T~ AP~IC~HT T~ ASS~ THaT ~LL <br /> SS~RY Z~ORH~TIOH IS PROVIDED. ~S ~OH ~S ~*~IRE~HTS OF THE REVIEW H~VE <br />BEEN HET~ YOU gILL ~E ~TIFIED THAT YOUR PERHIT HAS BEEN ISSUED. <br /> <br /> ] ~?~,~ ~he PROPER?~ OWNER ~nd own, res/de i%' or will reside tn the <br /> s~rVc~q~re a~d ~iLt h~ ~y own general contractor. I understand that I ~ust <br /> re~ssfe~ as a ~o~structio¥~ cm~tractor if th~'~ structure is sold or offered~for <br /> ~mle b~fore or ~lpo~ ~o~pletin~. If I~.hire subcontractors. I will hire only sub- <br /> c~ontrac'~ors ~egistere~ wit~ the Co,s~ction Cootractors Board. If t chef, ge My <br /> ~ind a~d do h~e m oeaerml contrmctor ~hO, i~?egistered, I will i~,~Mediate.,.y <br /> notif~ ~arion ~ount~ of the 'tlmMe of the co,t~ <br />[ .,; I'~ he ~ONTRACTOR r~iS~e~ed with She St~e of Oreqon. <br />[ ] I ~ a~ AU1H[RIZE~ REPREREN]ATIVE of ~ho pr ~erty owner or contrmct'o~~. <br /> <br />SIGNATURE DF APPtlCANT: ,; '~'~, <br /> <br /> <br />