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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE~ <br /> <br />06/29/99 09:22 BUILDING APPLICATION <br />Resident. addition/alteration ACTIVITY NO <br />U-1 STATUS <br />V-N APPLIED <br />FD TO EXPIRE <br /> <br />99-05126 <br />APPLIED <br />06/29/1999 <br />12/26/1999 <br /> <br />WURK DESC <br />SITE ADDRESS <br /> <br />: ADD: BU 98-10639 12 X 36 <br /> 11225 EHLEN RD NE AR <br /> <br />POLE BLEX~ <br /> <br />LOCATOR: 041W08 00600 <br /> CITY: MARION COUNTY <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br /> <br />APPLICANT <br />ADDRESS <br /> <br />PHONE <br /> <br /> LOT: BL: <br />40295-000 icC, P: ZONE: EFU LAND USE: <br /> .00 AC <br /> <br />M & W BUILDING SUPPLY CO <br />PO BOX 220 <br />AGENT: RANDALL OGLEVIE <br />CANBY. OR 97013 <br />263-6953 <br /> <br />OWNER : LANDSCAPE PLANT DEV EXT:735 <br /> PHONE: 612-443-7460 <br />CONTR : M & W BUILDING SUPPLY CD <br /> PHONE: 263-6953 <br /> OCCB: 0079450 <br /> <br />TOTAL SQ FEET 432 1ST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br />VALUATION $6,773,76 STORIES: 1 HEIGHT: <br /> <br /> Units Description Fee <br /> 1.0 Building Fee 62.50 <br /> 1.0 Plan Review Fee 40.62 <br /> 1 State surcharge 3.13 <br /> i Zone surcharge 3.75 <br /> <br /> Assessed fees 110.01 <br /> Adjustments .00 <br /> Total fees 110.01 <br /> PAYEE: OGLEVIE RANDALL Total payments: 110,01 <br /> Balance due : ,00 <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 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 CONTRACTOR registered with the State of Oregon. <br /> [ ] I am an AUTHORIZED REPRESENTATIVE of the property owner or contractor. <br /> SIGNATURE OF APPLICANT: <br /> <br /> DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY CLYNCH <br />CALL BEFORE YOU DIG,..IT'S THE LAW. Oregon law requires you to follow the ~ules adopted by <br />the Oregon Utility Notification Center (503-222-1987) <br /> <br /> Marion County Building Imspection <br /> 3150 Lancaster Dr. N.E.. Suite C Salem, Oregon 97305-1398 <br />Office Nours: 8:00-4:30 Phone: (503)588-5147 24-hr Inspection Line: (505)373-~27 <br /> <br /> <br />