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DATE/TIME : 07/22/98 12:29 <br />TYPE ~on~er~L <br />OCCUPANCY <br />CONST TYPE : <br />UGB: SITE: <br /> <br />WORK DES~ <br />SITE ADDRESS <br /> <br />BUILDING APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> APPLIED <br /> TO EXPIRE <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br /> <br />A~C BLDG )U COML USE ( <br /> <br /> 12324 EHLEN RD NE AR <br /> <br />LOT: BL: <br />~tAP: 4R ZONE: ID <br /> <br />APPLICANT <br />ADDRESS <br /> <br />PHONE <br /> <br />40317-000 <br /> 12.17 AC <br /> <br />)L~PPERTZ DESIGN CORPORATION <br />A1-FN: LARRY W RITCHEY <br />P 0 BOX 2828 <br />SALEM OREGON 97208-2828 <br />502-589-1291 <br /> <br />TOTAL SQ FEET : 1ST FLR: <br /> GAPJkGE: <br />VALUATION : $23.429.00 <br /> <br />98-06053 <br />APPLIED <br />07/22/1998 <br />01/18/1999 <br /> <br />LOLiAIUR: U4]WUPUDDUbDU <br /> CITY: MARION COUNTY <br /> <br />LAND USE: <br /> <br />OWNER : LEATHERS LTD PARTNERSHIP <br /> PHONE: 503-661-1244 <br />CONTR m ~'~ <br /> <br /> 2ND-~'IY~-'~ 2RD FIR: <br /> BASEMENT: OTHER: <br /> STORIES: 1 HEIGHT: 15 <br /> <br />.Units Description Fee <br /> 1.0 Building Fee 164.50 <br /> 1.0 Plan Review Fee 106.92 <br /> 1 State surcharge 8.22 <br /> I Zone surcharge 8.23 <br /> <br /> Assessed fees : 287.B9 <br /> Adjustments : .00 <br /> Total fees : 287.89 <br /> PAYEE: ~PPERTZ DESIGN CORPORATION Total payments: 106.93 <br /> Balance due : 18Q.96 <br /> *******x~;~;~**************.****.*********.***********-*******************~`~*~ <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 ME <br /> ISSUANCE OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br /> NECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW HAVE <br /> BEEN ME-F, 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 imediately <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 /> DONALD E WDDDLEY, )tARIDN CDUNrFy BUILDING OFFICIAL / BY CLYNCH <br />CALL BEFORE YOU DIG...IT'S THE LAW. Oregon law requires you to follow the rules adopted by <br />the Oregon Utility Notification Center (503-232-1987) <br /> <br /> Marion County Building Inspection <br /> 3150 Lancaster Dr. N.E., Suite C Salem, Oregon g7305-1398 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br />¥% <br /> <br /> <br />