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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N.E. · Suite C · Salem, Oregon 9730~-1398 <br />Office Hours; 8:00-4:30 * Phone: (503) 58~-~147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br />DATE/TIHE <br />TYPE <br />OCCPANCY <br />COHST TYPE <br /> <br /> BUILDING APPLICATION <br />: 81/~5/?B 1~:14 <br />: Resident. addition/alteration <br />: R-3 <br />: <br /> <br />APPLIED : ~1/~5/19~B <br />TO EXPIRE : 884/1998 <br /> <br />WORK ~ ...... ?-~?-~T~;;~-~?R-TO-~ ....................... [O0~TOP?"O~IQT~O-80800 <br /> <br />SIIE ADDRESS : <br /> 19801 OLNSf'EAD RD NE AR <br /> <br />RURDI¥ISION ~ LOT: <br />TAX ACCOUNT : 7~50-170 <br />PARCEL. S)ZE 5.00 AC <br /> <br />APPLICANT ~ CHR'[S[ENSEN TOOQ ALAN <br />A~RESS : 4~? ~ISSEX SI' <br /> <br /> WEST LINN~ OR ~7~68 <br /> PH~£ : 65~-4~65 <br /> <br />IOTA! S~ FEET ~ J~6 1ST FLR: <br /> GARAGE: <br /> YALUATIO~ : $~1~7~5.76 <br /> <br />CITY: MARION COUNTY <br /> <br />BLOCK~ <br /> ~AF': 6 ZONE: EFU LAND USE:65% <br /> <br />OWNER: LEBLANCA JOE & DONNA <br />CONI'R: CHRISTENSEN TODD OCCB: 0104394 <br /> <br />Units Pescr i~t~m~ <br /> - ~Z]l~-r--l~. d :~ n~-~--~-~ <br /> ~.0 Plan Review <br /> State~ surcn~rq~ <br /> Zone s~rchar~ <br /> <br />2NO FLR: 3RD FLR: <br />BASEMENT: OTHER: <br />STORIES: HEIGHT: 23 <br /> <br /> 99.1~ <br /> 7.63 <br /> 7.6~ <br /> <br /> Assessed fees : 266.89 <br /> Adjust~ents : .00 <br /> Total fees : 266.8~ <br />PAYEE: CHR1STENS_N TODP ALAN Totml payments: 266.89 <br /> Balanf:e due : .00 <br />************************************************************************************ <br />THI~ IS W~T A PERMIT. TNIS APPLICATIDN HU~T GO THROUGN A SI~ULTANEO~ REVIEW PRO~ESS <br />WHERE ZDNING, ~EPTI~ (IF APPLICABLE) AND ~ON~TRU~TION PLAN~ ARE ~NE~KED PRI~R TO THE <br />ISSUANCE OE A PER~IT. IT IS THE RESPONSIBILITY OF T~E APPLICANT TO ASSURE THAT ALL <br />NECESSARY INFORMATION I8 PRQ¥IDEB. AS SOON AS ALL REQ~IRE~£NT$ QP TN~ REVIEW ~AVE <br />BEEW NET, ¥~ WILL BE ~TIFIED TNAT YOUR PERNIT HAS BEEN ISSUED. <br /> <br />[ ] I m~ th~ PROPERTY OWNER and own, r~sJde in; or will reside itl tl~e completed <br /> structure and will be My own general contractor. I onderstmnd that I must <br /> r~oi;,t;~' as a cons~rur;tion cohtractor if ~he structure is sold or offered for <br /> sal~ before or upon ~omoletion. If I hire subcontractors. I will hire only sub- <br /> cont~act'ors ~eoi~tered With the Construction Contractors Board. If I change my <br /> mind and do hi;'e a generaI qontractor who is reqistered~ I will immediately <br />~ notify Marion Cou~lty of the name of the contractor. <br />~r~] I.a~ the CONTRACTO~ r~qistere~ with the State of Oregon. <br />[ ] I a~ an AU'TNORIZE~ R~T~V~f the property owner Or contractor. <br />SIGNATURE OF APPi,.ICANT. <br />***********************--*--************************************** <br />¢~h'.~A, u ~; wr~I)I_EY, MARrON ;¥]IJNI'Y Bli[t.l)fJ4,, O~Frr.,AL / BY .]LYNCH <br /> <br /> <br />