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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br /> DWELLING PERMIT <br />07/22/99 10:50 <br />New Single Family Dwelling <br />R-2 <br />V-N <br /> <br />PERMIT NO <br />STATUS <br />ISSUED <br />TO EXPIRE <br />PAGE <br /> <br />99-04636 <br />ISSUED <br />07/22/1999 <br />01/18/2000 <br />1 <br /> <br />WORK DkSU <br />SITE ADDRESS <br /> <br />: NSFD--4 BEDRMS <br /> <br /> 10031BROWNELL DR SE AM <br /> <br />LOCA[DR: OB1W19 01102 <br /> CITY: MARION COUNTY <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 />PARCEL 2 LOT: BL: <br />R6318-1 MAP: 48R ZONE: AR LAND USE:P.97-40 <br /> 5.5AC <br /> <br />RANDY FULTZ CONSTRUCTION LLC OWNER : GRAVES DEBPJ~ <br />10047 STAYTON RD SE PHONE: 503-945-5716 <br /> CONTR : RANDY FULTZ CONSTRUCTION LLC <br />AUMSVILLE. OR 97325-9999 PHONE: 851-5091 <br />851-5091 OCCB: 0052354 <br /> 2.957 1ST FLR: 2285 2ND FLR: 3RD FLR: <br /> GAPJ~GE: 672 BASEMENT: OTHER: <br /> 158.681.54 STORIES: 1 HEIGHT: 18 <br /> <br />Units Description 1,0 Residential building fee <br /> Plan review fee <br /> 1 Residential plumbing fee <br /> Residential mechanical fee <br /> 1 Residential electrical fee <br /> 1 State surcharge <br /> 1 Zone surcharge <br /> <br />Fee <br /> 547.05 <br /> 354.84 <br /> 266.12 <br /> 118.28 <br /> 266.12 <br /> 59.88 <br /> 30.00 <br /> <br /> Assessed fees 1,832.31 <br /> Adjustments ,00 <br /> Total fees 1,832,31 <br /> PAYEE: Total payments: 1,832,31 <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 /> WRI~EN REQUEST. ONE SIX MONTH EXTENSION MAY BE GRAMTED. <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 i~ediately <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 /> 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 />FILE <br /> <br /> <br />