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DATE: ~- <br />OFFICE: MC <br />UGB: <br />CONST: V-N <br />OCC: ?? <br /> <br />Marion County Building Inspection <br />555 Court St. N.E., Room 2260, PO Box 14500 Salem, Oregon 97309-5036 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 Inspection Line: (503)373-4427 <br /> <br />BUILDING APPLICATION <br /> <br />TYPE: BUILD ACTIVITY NO: 98-07401 <br />USE: STATUS: EXPIRED <br />MAP: 48R APPLIED: 08/31/1998 <br />ZONE: AR TO EXPIRE: 02/27/1999 · <br />SITE: <br /> <br />WORK DESC: <br /> <br />SITE ADDRESS: <br />PARCEL: <br /> <br />APPLICANT: <br /> ADDRESS: <br /> <br /> PHONE: <br /> <br />OWNER: <br /> ADDRESS: <br /> <br /> PHONE: <br /> OCCUPANT: <br /> <br />CONTRACTOR: <br /> ADDRESS: <br /> <br /> PHONE: <br />TOTAL SQ FT: <br />VALUATION: <br /> <br />CONST. OF DECK TO EXIST. ADDITION TO MH (98-05132) <br /> <br />7878 SE SHEP~AN RD AM <br />091W29D 03402 <br /> <br />BRAY DICK <br />7878 SHERMAN RD SE <br />AL~MSVILLE OR 97325 <br />585-9784 <br /> <br />BRAY DICK <br />7878 SHER~ RD SE <br />AUMSVILLE OR 97325 <br />585-9784 <br /> <br />OCCB#: <br /> <br />425 1ST FLOOR: 0 GARAGE: 0 HEIGHT: 6 <br /> 2ND FLOOR: 0 BASEMENT: 0 STORIES: 1 <br /> $0.00 3RD FLOOR: 0 OTHER: 425 <br /> <br />Units <br /> <br />?? <br /> <br />Description Fee Units Description Fe__e <br />Huilding Fee $0.00 SDC's: <br />Investigation Fee $0.00 SDC Urban Growth ?? <br />Footing/Foundation $0.00 SDC Rural ?? <br />Change/Occupancy $0.00 SDC Parks ?? <br />Building Plan Review $0.00 Driveway Fee $0.00 <br />Fire Life Safety $0.00 Site Plan Review $0.00 <br />Additional Sets of Plans $0.00 State Surcharge $0.00 <br />Additional Plan Review $0.00 Zoning Surcharge $0.00 <br />Addendum Hours Fee ?? Seismic Surcharge $0.00 <br /> <br />Special Plan Review $0.00 ?? Add'l Support Staff Hrs ?? <br />Plan Review Handling Fee $0.00 Refund $0.00 <br />Other Fee ?? <br />Misc/Copy Fee ?? Total Assessed Fees: $0,00 <br />Reinspection Fee $0.00 Adjustments: $0.00 <br />Overtime Inspection hfs $0.00 Total Fees: $0.00 <br />Other Inspection hours $0.00 Total Payments: $32.83 <br /> Balance Due: ($32.83) <br /> <br />THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A SIMULTANEOUS REVIEW PROCESS WHERE ZONING, SEPTIC (IF <br /> <br />APPLICABLE) AND CONSTRUCTION PLANS ARE CHECKED PRIOR TO THE ISSUANCE OF A PERMIT. IT IS THE RESPONSIBILITY OF <br />THE APPLICANT TO ASSURE THAT ALL NECESSARY INFOR~kTION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW <br />HAVE 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 structure and will be my own <br />general contractor. I understand that I must register as a construction contractor if the structure is sold or <br />offered for sale before or upon completion. If I hire subcontractors, I will hire only sub-contractors <br />registered with the COnstruction Contractors Hoard. If I change my mind and do hire a general contractor who is <br />registered, I will in~uediately notify Marion County 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 /> <br />SIGNATURE OF APPLICANT: X <br /> <br /> <br />