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BUILDING PERMIT <br />04/30/99 13:14 <br />Con~nerci al addition/alteration <br />M <br />V-N <br /> <br />DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONSTI~PE <br />UGB: AM SITE: PAGE <br /> <br />WORK DkSC : RkMOVL & REPLACL ~qJSr & BkAM - IH~IFIWAY SIURE <br />SITE ADDRESS : <br /> 210 MAIN ST AM <br /> <br />SUBDIVISION LOT: <br />TAX ACCOUNT 57699-036 MAP: 51 <br />PARCEL SIZE ,00 AC <br />APPLICANT LUCAS ~ARK A <br />ADDRESS PO BOX 751 <br /> <br /> AU~SVILLE. OR 97325 <br />PHONE 749-2576 <br />TOTAL SQ FEET 1ST FLR: <br /> GARAGE: <br />VALUATION $1.000.00 <br /> <br />PERMIT NO <br />STATUS <br />ISSUED <br />TO EXPIRE <br /> <br />99-03054 <br />ISSUED <br />04/30/1999 <br />10/27/1999 <br /> 1 <br /> <br />LUCAIUR: UB2W250005201 <br />CITY: AUMSVIL[E <br /> <br /> BL: <br />ZONE: C1 LAND USE: <br /> <br /> OWNER : LUCAS.REX A & KAREN A-TRUST <br /> PHONE: <br /> CONTR : LUCAS MARK A <br /> PHONE: 749-2576 <br /> OCCB: 0095644 <br />2ND FLR: 3RD FLR: <br />BASEMENT: OTHER: <br />STORIES: i HEIGHT: <br /> <br />Units Description Fee <br /> 1.0 Building Fee 17.50 <br /> 1.0 Plan Review Fee 11.38 <br /> i State surcharge .BB <br /> <br /> Assessed fees 29.76 <br /> Adjustments .00 <br /> Total fees 29,76 <br /> PAYEE: Total payments: 29,76 <br /> Balance due: .00 <br /> <br /> THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 1BO DAYS FROM ISSUED DATE IF WORK <br /> MAS NOT COMMENCED. OR IF CONSTRUCTION CEA~SES FOR A PERIOD OF 180 DAYS. OR IF WORK <br /> FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES, UPON <br /> WRI1-FEN 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 CONItRACTOR registered with the State of Oregon, <br /> [ ] I am an AUTHORIZED REPRESENTATIVE of the property owner or contractor. <br /> <br /> SIGNATURE OF APPLICANT: ~ ~ _ · <br /> <br /> DONALD E WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY <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 />