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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />05/18/98 11:18 BUILDING APPLICATION <br />Residential accessory struct ACTIVITY NO <br />U-1 STATUS <br />V-N APPLIED <br /> TO EXPIRE <br /> <br />98-03944 <br />APPLIED <br />05/18/1998 <br />11/t4/1998 <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />: COVERED WALK FOR RV <br /> <br /> 11272 SHAFF RD SE AM <br /> <br />LOCAIOR: 091W08 00100 <br /> CITY: MARION COUNTY <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 /> LOT: BL: <br />60543-000 MAP: 60R ZONE: EFU LAND USE: <br /> 1,50 AC <br /> <br />BAYLISS HORACE C & VIRGINIA C <br />P 0 BOX B <br />STAYTON OR <br /> 97382 <br />769-6104 <br /> <br />OWNER : BAYLISS HORACE C & VIRGINIA C <br /> PHONE: 769-6104 <br />CONTR : <br /> PHONE: <br /> OCCB: <br /> <br /> t25 1ST FLR: 2ND FLR: 2RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br />$1.280,00 STORIES: 1 HEIGHT: <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 /> i Zone surcharge 1.18 <br /> <br /> Assessed fees 41.14 <br /> Adjustments ,00 <br /> Total fees 41.14 <br />PAYEE: BAYLISS HORACE C & VIRGINIA C Total payments: 41.14 <br /> Balance due : .00 <br /> <br />THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A SIMULTANEOUS REVIEW PROCESS <br />WHERE ZONING, SEPTIC (IF APPLICABLE) AND CONSTRUCTION PLANS ARE CHECKED PRIOR TO THE <br />ISSUANCE OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT AIL <br />NECESSARY INFORMATION IS PROVIDED, AS SOON AS ALL REQUIREMENTS OF THE REVIEW HAVE <br />BEEN MET, YOU WILL BE NOTIFIED THAT YOUR PERMIT HAS BEEN ISSUED, <br /> <br />[ ] I 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 /> register 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~e prQ~erty owner or contractor. <br />SIGNATURE OF APPLICANT: F_~<~..~_~ ~z~i:~./_]~_~ <br /> <br />DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY MBULL <br /> <br /> Marion County Building Inspection <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 /> <br />