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DATE/TIME : 12/07/98 16:14 BUILDING APPLICATION <br />TYPE : Resident. addition/alteration ACTIVITY NO <br />OCCUPANCY : R-3 STATUS <br />CONST TYPE : V-N APPLIED <br />UGB: SITE: TO EXPIRE <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> PHONE <br /> <br />TOTAL SQ FEET <br /> <br />98-10557 <br />APPLIED <br />12/07/1998 <br />06/05/1999 <br /> <br />: ADD: ~AI~qGE IU RESIDENCE <br /> 6153 SHAW LN SE AM <br /> <br />LUCAIUR: 08ZWZ4A D0900 <br /> CITY: MARION COUNTY <br /> <br />LOT: BL: <br /> <br />75300-160 MAP: 51R ZONE: AR LAND USE: <br /> 5.00 AC <br /> <br />BUTTS ALLEN <br />6153 SHAW LN SE <br />AUMSVILLE. OREGON <br /> <br />503-749-3060 <br /> <br />97325 <br /> <br />OWNER : BU~S,W ALLEN & JUDI FAY <br /> PHONE: <br />CONTR : <br /> PHONE: <br /> OCCB: <br /> <br /> 662 1ST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br />VALUATION $10.770.74 STORIES: 1 HEIGHT: <br /> <br /> Umts Description Fee <br /> 1.0 Building Fee 86.50 <br /> 1.0 Plan Review Fee 56.22 <br /> 1 State surcharge 4.22 <br /> 1 Zone surcharge 5.19 <br /> <br /> Assessed fees 152,25 <br /> Adjustments ,00 <br /> Total fees 152.25 <br /> PAYEE: BLFFFS ALLEN Total payments: .00 <br /> Balance due : 152.25 <br /> <br /> THIS IS NOT A PERMIT, THIS APPLICATION HUST 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 ALL <br /> NECESSARY INFORHATION 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 amanAUTHORIZEOR~~ertyowneror contractor. <br /> SIGNATURE OF APPLICANT: <br /> <br /> DONALD E WOODLEY, MARION COUNTY 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 97305-1398 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />