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DATE/TIME <br /> <br />DWELLING PERMIT <br /> <br />11/06/98 14:65 PERMIT NO 98-09124 <br /> <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />New Single Family Belling <br />R-3 <br />V-N <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />: REPL DWELL W/NSkU 3 BEDRMS <br />6873 HAYS LN SE AM <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 />56225-000 <br /> 7.5AC <br /> <br />STATUS ISSUED <br />ISSUED 11/06/1998 <br />TO EXPIRE 05/05/1999 <br />PAGE 1 <br /> <br />CONVERI EXIST TO SHOP LOCAIOR: 081W19C OlOOO <br /> CITY: MARION COUNTY <br /> <br />LOT: BL: <br />MAP: 48R ZONE: AR LAND USE:P628 <br /> <br />SCHMID.ERNEST T & JANICE L OWNER : SCHMID.ERNEST T & JANICE L <br />P 0 BOX 1126 PHONE: <br />AUMSVILLE. OR CONTR : <br /> 97325 PHONE: <br />749-2238 OCCB: <br /> 3.116 1ST FLR: 1679 2ND FLR: 873 3RD FLR: <br /> GARAGE: 564 BASEMENT: OTHER: <br /> 174,769.28 STORIES: 2 HEIGHT: 24 <br /> <br />Units Description Fee <br /> 1.0 Residential building fee 576.46 <br /> 1.O Plan review fee 372.92 <br /> 1 Residential plumbing fee 280.44 <br /> 1 Residential mechanical fee 124.64 <br /> 1 Residential electrical fee 280.44 <br /> i State surcharge 62.10 <br /> 1 Zone surcharge 30.00 <br /> <br /> Assessed fees 1,729.00 <br /> Adjustments .00 <br /> Total fees 1,729.00 <br />PAYEE: SCHMID.ERNEST T & JANICE L Total payments: 1,729.00 <br /> Balance due : .00 <br /> <br />THIS PERMIT IS NON-TRANSFEPJNBLE AND EXPIRES 180 DAYS FROM ISSUE DATE IF WORK HAS <br />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 />WRITTEN REQUEST, ONE SIX MONTH EXTENSION MAY BE GRANTED, <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 /> contractos 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 the AUTHORIZED REPRESENTATIVE of the property qwn~ or contractor. <br />SIGNATURE OF APPLICANT: ~~/ <br />DONALO E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY CLYNCH <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-~27 <br /> <br /> <br />