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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />WORK DLSC : <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 /> DWELLING PERMIT <br />07/27/99 14:02 PERMIT NO <br />New Single Family Dwelling STATUS <br />R-3 ISSUED <br />V-N TO EXPIRE <br /> PAGE <br /> <br />99-04468 <br />ISSUED <br />07/22/1999 <br />01/18/2000 <br />1 <br /> <br />NtW RES - L ~4 - LINCOLN WESI - 1.b SIORLkS <br /> <br />1146 CRYSTAL CT AM <br /> <br />LINCOLN WEST LOT: 4 <br />R9875-7 MAP: 51 <br /> .OAC <br /> <br />GILES CURTIS LEROY <br />PO BOX 3251 <br /> <br />TUALATIN. OR 97062 <br />503-881-4663 <br />2.183 1ST FLR: 1397 <br /> GAPJNGE: 429 <br /> <br />LOCAIOR: <br /> CITY: AUMSVILLE <br /> <br /> BL: <br />ZONE: RS LAND USE: <br /> <br />OWNER : CIRCLE G CONSTRUCTION <br /> PHONE: 503-881-4662 <br />CONTR : GILES CURTIS LEROY <br /> PHONE: 503-881-4663 <br /> OCCB: 0130445 <br />2ND FLR: 357 3RD FLR: <br />BASEMENT: OTHER: <br /> <br />VALUATION t20.393.47 STORIES: 2 HEIGHT: 20 <br /> <br />Units Description <br /> 1.0 Residential building fee <br /> 1,0 Plan review fee <br /> 1 Residential plumbing fee <br /> I Residential mechanical fee <br /> i Residential electrical fee <br /> I State surcharge <br /> <br />Fee <br /> 403.85 <br /> 261.96 <br /> 196.47 <br /> 87.32 <br /> 196,47 <br /> 44.21 <br /> <br /> Assessed fees 1,190.29 <br /> Adjustments .00 <br /> Total fees 1.190,29 <br />PAYEE: Total payments: 1,190.29 <br /> Balance due : ,00 <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUE DATE IF WORK HAS <br />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 />WRIl-fEN REQUEST, 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 /> contractos 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 the AUTHORIZED REPRESENTATIVE of the property owner or contractor. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY PMUNRO <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 />