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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N~E. * Suite C * Salem, Oregon 97305-1398 <br />Office Houre: 8:00-4:30 · Phone: (503) 588-5147 · 24oHR Inspection Line: (503) 373-4427 <br /> <br /> BUILD[NG PERMIT <br />DATE/TINE : S2/25/78 12:14 PERMIT N0 <br />OCCUPANcyTYPE ~u-iResidential accessory struct. [SSuEDSTATUS <br />CONST TYPE : V-N TO EXPIRE <br />UGB: SITE: PAGE <br /> <br />98-88817 <br />ISSUED <br />e2/25/199B <br />~8/24/1978 <br /> 1 <br /> <br />WORK ~E~C ......... 5""'~R~E ......................................................................... COC~TOF~ ................... <br />~i' C~TY= ~LINS¥II...LE <br />S TE ADORES$ = <br /> 562 llTH ST AM <br /> <br />~ US)[VIS <br />]'AX <br /> PARCE.. SIZE <br /> <br />L.~NCOL.N MEAOOWSI..OT: BLOCK: <br />/~?78-0.,1 MAP: 51 <br />17955.00 SF <br /> <br />Zu~¢;.: RS LAND USE:~ <br /> <br />AF'PL iCANT <br /> ADDRESS <br /> <br />CLOUGH JIM <br />.19941 MAD CREEK RD <br /> <br />~ATE,~ ~ OR 97.~46 <br />897-2404 <br /> <br />PHONE: 897-2404 <br />CONTR : CLOUGH JIM <br />FHONE. 8~7-24~4 <br />(CCB. ~854718 <br /> <br />TC, I'AL Si~ FEET : 640 1ST FLR: 2NO Fl..R: <br /> GARAGE~ 640 BASE'MEN]: O] H~R. <br />VALUATION : $10~ 412.80 &~TOP r ~q. I HEIGH r~ 12 <br /> <br />iJn~ ts Description Fee <br /> <br /> J.O P].a~ Revi~'.w Fee <br /> 1 S~a :e sLircharg~ 4,, <br /> <br /> Assessed fees 147, ~16 <br /> Ad justments .00 <br /> Tot~l fees 147.86 <br />PAYEE: Ct..[)IJGH ,JIM Tot'al oayments: 147,,06 <br /> Ba ].~r~ce due: <br />********************************************************************************* <br />THIS PERfllT IS NON-TRANSFERABLE ANB EXPIRES 188 ~AYS FROM ISSUEO BATE IF WORK <br />NAS NOT CON~ENCEB, OR IF ~ONSTRUCTION CEASES FOR A PERIOB OF 188 ~AYS, OR IF WORK <br />FAILS TO ~EET ALL REg~[RE~EHTS OF STATE LAWS A~B ~AR[ON COUNTY ORBIHAHCES. ~PON <br />HAl[TEN RE~OEST, ONE SlX ~ONTN EXTENSION NAY BE <br />~r ] ) e~ th~. F'ROPERTY... OWgE'R._ and own,, reside ........ i~ o" will reside i'~ She "~m'pleted <br /> structure end will be my own general contr~c't:or. I ur~derstand that' I must <br /> reoister as a construct'S, on cra]tractor if the structu~'e is sold or offered for <br /> s~]e before or upon completio? If I hir~ subcontractors, I will hire only sub- <br /> ~u'rntTac't"ors regis'feted with the Constr[[ctio~ Contractors Board. If I ct'~a~'~e My <br /> mind and do hii? ~ oeneral contract-or whn 'is reqistered~ I will immediately <br /> not"~fy Marion C~unt~ of the ~ame of the con~rac~or. <br />r ] ;( am the CONTRACTOR reqistered wik'h the St,:r~e of Oreqon. <br />[ h ) ~m a'~ AU1H[tRIZED REPRESENTATIVE of '('~e oroperty owf)er or contractor. <br /> <br />S!GNAi'IiRE OF APPLICANT: <br /> <br />DONA(D K WOOO~EY~ MARION COUNTY BUILDING OFFICiAl_ / BY PBELL <br /> <br /> <br />