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DATE/TIME 06/29/99 08:54 BUILDING APPLICATION <br />TYPE Resident. addition/alteration ACTIVITY NO <br />OCCUPANCY U-] STATUS <br />CONST TYPE V-N APPLIED <br />UGB: SITE: FD TO EXPIRE <br /> <br />99-05126 <br />APPLIED <br />06/29/1999 <br />12/26/1999 <br /> <br />WURK DESC : ADD: BU 98-10639 12 X 36 POLE BLDG LOCATOR: 041WOB 00600 <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 11225 EHLEN RD NE AR <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> LOT: BL: <br />40295-000 MAP: ZONE: EFU LAND USE: <br /> .00 AC <br /> <br />M & W BUILDING SUPPLY CO <br />PO BOX 220 <br /> <br /> CANBY, OR 97013 <br />PHONE 263-5953 <br /> <br />OWNER : LANDSCAPE PLANT DEV EXT:735 <br /> PHONE: 612 442-7460 <br />CONTR : M & W BUILDING SUPPLY CO <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: I HEIGHT: <br /> <br /> Units Description Fee <br /> 1,0 Building Fee 62,50 <br /> 1.0 Plan Review Fee 40,63 <br /> 1 State surcharge 3,13 <br /> 1 Zone surcharge 3,75 <br /> <br /> Assessed fees 110.01 <br /> Adjustments .00 <br /> Total fees 110.01 <br /> PAYEE: Total payments: .00 <br /> Balance due : 110.01 <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 INFORFATION 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 /> and do hire a general contractor who is~egistered, I will immediately <br /> fy Marion County oJ~..t.he name of J;~con~i~ctor. <br /> the CONTRACTOR ~gis~Nered wi~h/~e~t~e/of Oregon. <br /> [ ] I am an AUTHORIZED R~EPRESE. NTATIN~ ~Fthe~n~erSv owner or contractor, <br /> SIGNATURE OF APPLICANT: I ~'"/~~ <br /> <br />CALL BEFORE YOU DIG...IT'S THE LAW. Oregon law Fequires you to follow the rules adopted by <br />the Oregon Utility Notification Center (503-232-1987) <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 />