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BUILDING PERMIT <br />DATE/TIME 04/22/99 08:16 <br />TYPE Residential accessory struct <br />OCCUPANCY S-2 <br />CONST TYPE V-N <br />UGB~ SITE: FD <br /> <br />PERMIT NO <br />STATUS <br />ISSUED <br />TO EXPIRE <br />PAGE <br /> <br />99 00018 <br />ISSUED <br />04/22/1999 <br />10/19/1999 <br /> 1 <br /> <br />WURK ULSC <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br />APPLICANT <br /> ADDRESS <br /> <br /> PHONE <br />TOTAL SQ FEET <br /> <br />VALUATION <br /> <br />: SHUP/W LOFI <br /> <br /> 8794 SHAW SQUARE SE /bM <br /> <br /> WALDO HILLS FRULOT: 16 <br /> 75300-800 MAP: 51 <br /> 15.80 AC <br /> LUCAS MARK A <br /> PO BOX 751 <br /> <br /> AUMSVILLE. OR 97225 <br /> 749-2576 <br /> 3,600 1ST FLR: 2800 <br /> GARAGE: <br /> $58.572,00 <br /> <br />LUCAIOR: 082WZ4B 0140D <br /> CITY: MARION COUNTY <br /> <br /> BL: <br />ZONE: SA LAND USE: CU 74-11 <br /> <br /> OWNER : GOSSEN,LA ROY <br /> PHONE: 749-2809 <br /> CONTR : LUCAS MARK A <br /> PHONE: 749-2576 <br /> OCCB: 0095644 <br />2ND FLR: 800 3RD FLR: <br />BASEMENT: OTHER: <br />STORIES: 2 HEIGHT: <br /> <br />25 <br /> <br />Units Description Fee <br /> 1.0 Building Fee 210,00 <br /> 1.0 Plan Review Fee 201.50 <br /> 1 State surcharge 18.50 <br /> 1 Zone surcharge 18.60 <br /> <br /> Assessed fees 545.60 <br /> Adjustments .00 <br /> Total fees 545.60 <br /> PAYEE: LUCAS REX Total payments: 545.60 <br /> Balance due: .00 <br /> <br /> THIS PERMIT IS NON-TRANSFERABLE 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 /> WRI~EN REQUEST PRIOR TO EXPIRATION, 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 /> 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 CONTMACTOR registered with the State of Oregon. <br /> [ ] I am an AUTHORIZED REPRESENTATIVE of the property owner or contractor, <br /> <br /> SIGNATURE OF APPLICANT: <br /> DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY PBREMER~ <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 />