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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 PERHIT <br />DATE/TIHE : 81/14/98 15:57 PERHIT HO : <br />TYPE : Resident. addition/alteration STATUS : ISSUED <br />OCCUPAHCY : R-~ ISSUED ~ ~1/14/1798 <br />CONST TYPE : V-N TO EXPIRE : 87/1~/1778 <br /> PA~E I <br /> <br />,~E ADDRESS CITY: MARION COUNTY <br /> 58?8 SHAW HY SE AN <br /> <br />~UI~,DIV ISI014 <br />TAX ACCOUNT <br /> PARCEL SiZE <br /> <br /> LILT: BLOCK: <br />56054-800 MAP: 46R ZONE: AR <br /> !,.99 AC <br /> <br />LAND USE: MF' 690 <br /> <br />APPL!:CANT <br /> ~DDRESS <br /> <br />PHONE <br />TO]'AL SQ ~'EET <br /> <br /> VAL iIATION <br /> <br />: BARTH & ASSOCIATES INC <br />- Pn BOX 148 <br /> <br />OWNER: BENTZ KENNETH D & JANET <br />COI,ITR: BARTH & ASSOCIATES INC <br /> OCCB: 0113978 <br /> <br />SUBLIMITY, OR 97385 <br />769-~!854 <br /> <br /> 288 1ST FLR: 288 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br /> $18~622.08 STORIES: 1 HEIGHT: 15 <br /> <br />Descr i~tion <br /> ' ~ 1-'/l"~'i,n g fee <br /> F],a~ Review Fee <br /> <br /> Zone surcnarg~ <br /> <br />Fee <br /> <br />87.4S <br /> 6.7~ <br /> 6.78 <br /> <br /> qssessed fe(~s : 235.39 <br /> Adjustmm'~ts : .00 <br /> Tofal fees : 235. S9 <br />PAYEE: BARTH & ASSOCIATES 'rNc Total pByPlelqt's: 235.39 <br /> B~lance due: .~8 <br />******************************************************************************** <br />THIS PEEMIT IS N~-TE~FERAB~ AN~ EXPIEES 188 ~AYS FRB~ ISSUE9 BATE IF <br />HAS NOT COM~EWCEB, ~ IF CO~T~CTIOH CEASES FOE A PEEIO~ OF 188 ~AYS. OR IF WORK <br />FAILS TO MEET ALL REqUIREmENTS OF STATE ~WS AN~ ~ARION CO~T~ OEBINARCES. <br />WRITTEN ~EQ[JEST, ONE SIX MQ~H EXTENSI~ ~AY BE <br />r ] ~ am the PROPERTY OWNER ~d ow~% reside in~ or will r'eszoe i~ the complete~ <br /> st~:ucture end ~il. 1 be M~ own general contractor. I m'~derstmod that l-must <br /> re~)ister as e cm~st~uctlm'~ contractor if the structure is sold or offered <br /> s~.e h~,.fore or upon co~oletion. ~f I hire subconh-actors. I will hire m~ly sub- <br /> uontrectors regiSSe~'ed W~th the Co~st-uct~on Contractors Board. If I chanQe my <br /> mind ,~nd do hire a ~ener~t contractor who is req[stered, I will immediately <br /> notify Martoo County of the name of the contractor. <br />~ ~ ~ ~m th~ CONTRACTOR reqistered with the State of O-egon. <br /> " mm an AUTHOR]ZED REPRESENTATIVE of the property ow~ier or contractor. <br /> <br />SIGNATURE OF APPLICANT: '~ <br />~**~*~**~***~*~**~****~B~[~[~E~E~*~*************** <br />l)l~AL ) ~ WO[I)LF~= HARIO~ COINTY BUILDING OFFICIAL / BY <br /> <br /> <br />