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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />WDRK ULSU <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br /> <br />APPLICANT <br />ADDRESS <br /> <br />PHONE <br />TOTAL SQ FEET <br /> <br /> VALUATION <br /> <br /> BUILDING PERMIT <br />06/04/98 10:55 PERMIT NO <br />Residential accessory struct STATUS <br />U-1 ISSUED <br />V-N TO EXPIRE <br /> PAGE <br /> <br />98-03944 <br />ISSUED <br />06/04/1998 <br />12/01/1998 <br /> 1 <br /> <br />: CUVLRLU WALK FOR RV LOCAIUR: U~iWOU 00100 <br />: CITY: MARION COUNTY <br />11372 SHAFF RD SE AM <br /> <br /> LOT: BL: <br /> 60542-000 MAP: 60R ZONE: EFU LAND USE: <br /> 1.50 AC <br /> <br /> BAYLISS HORACE C & VIRGINIA C OWNER : BAYLISS HORACE C & VIRGINIA C <br /> P 0 BOX B PHONE: 769-6104 <br /> STAYTON OR CONTR : <br /> 97383 PHONE: <br /> 769-6104 OCCB: <br /> <br /> 125 1ST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br /> $1,380.00 STORIES: 1 HEIGHT: 7 <br /> <br />Units Description Fee <br /> 1.0 Building Fee 23.50 <br /> 1.0 Plan Review Fee 15,28 <br /> 1 State surcharge 1.18 <br /> 1 Zone surcharge 1,18 <br /> <br /> Assessed fees 41.14 <br /> Adjustments .00 <br /> Total fees 41.14 <br />PAYEE: 8AYLISS HOP~ACE C & VIRGINIA C Total payments: 41.14 <br /> Balance due: .00 <br /> <br />THIS PERMIT IS NON-TRANSFEPJkBLE AND EXPIRES 180 DAYS FROM ISSUED DATE IF WORK <br />HAS NOT COMMENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF WORK <br />FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES, UPON <br />WRI1-FEN REQUEST PRIOR TO EXPIRATION. ONE SIX MONTH EXTENSION MAY BE GRANTED. <br /> <br />[ ] E am the PROPERTY OWNER and own. reside in. or will reside in the completed <br /> structure and will be my own general contractor, I understand that I must <br /> re~ister as a construction contractor if the structure is sold or offered for <br /> sale before or upon completion, If I hire subcontractors. I will hire only sub- <br /> contractors registered with the Construction Contractors Board, If I change my <br /> mind and do hire a general contractor who is registered, I will immediately <br /> notify Marion County of the name of the contractor. <br /> [ ] I am the CONTRACTOR registered with the State of Oregon, <br />[ ] I am an AUTHORIZED REPRESENTATIVE of the property owner or contractor. <br />SIGNATURE OF APPLICANT: /~ <br /> <br /> Marion County Building Inspection <br /> 3150 Lancaster Dr. N.E., Suite C Salem, Oregon 97305-~398 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />