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DWELLING APPLICATION <br />DATE/TIME 05/25/99 10:14 <br />TYPE New Single Famqly Dwelling <br />OCCUPANCY R-3 <br />CONST TYPE V-N <br />UGB: SITE: FD <br /> <br />ACTIVITY NO <br />STATUS <br />APPLIED <br />TO EXPIRE <br /> <br />99-03988 <br />APPLIED <br />05/25/1999 <br />11/21/1999 <br /> <br />WORK gESC <br />SITE ADDRESS <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 />: NEW ~WELL <br /> <br /> 10514 LEVERMAN RD SE AM <br /> <br /> LOT: <br /> 56456-000 MAP: 48R <br /> 5.00 <br /> <br /> REUTOV NESTOR <br /> 12385 PORTLAND RD NE <br /> <br /> GERVAIS, OR 97026-9999 <br /> 792-2684 <br /> <br />LOCAIOR: 081W32A 01200 <br /> CII~': MARION COUNTY <br /> <br /> BL: <br />ZONE: SA LAND USE: <br /> <br />OWNER : HOPKINS EDWARD J <br /> PHONE: 749-2021 <br />CONTR : REUTOV NESTOR <br /> PHONE: 792-2684 <br /> OCCB: 0049148 <br /> <br />2.127 1ST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br />116.240,22 STORIES: 1 HEIGHT: 15 <br /> <br />Units Description <br /> 1.0 Residential building fee <br /> 1.0 Plan review fee <br /> 1 Residential plumbing fee <br /> 1 Residential mechanical fee <br /> 1 Residential electrical fee <br /> 1 State surcharge <br /> 1 Zone surcharge <br /> I Driveway Fee <br /> <br />Fee <br /> 293.50 <br /> 255.24 <br /> 191.43 <br /> 85.08 <br /> 191.43 <br /> 43.07 <br /> 30.00 <br /> 50.00 <br /> <br /> Assessed fees 1.429.75 <br /> Adjustments . OD <br /> /z~ Total Total fees 1,429.75429. <br /> PAYEE:~'-~.~ payments: 1, 75 <br /> Balance due : ,OB <br /> *--****************--*****--****************** ~ ~ ~ ~ ~***************** <br /> THIS IS NOT A PERMIT. THIS APPLICATION MUST 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 INFORMATION 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 completeO <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 am an AU%NORIZED REPRESENTATIVE of the property owr~er or contractor. <br /> <br /> SIGNATURE OF APPLICANT: <br /> <br /> DONALD E WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY MBULL <br /> Marion County Building Inspection <br /> 3150 Lancaster Dr. NME., 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 />