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DATE/TIME <br />TYPE <br /> <br />UGB: DT SITE: <br /> <br />: 07/23/99 14:30 <br />: SP <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />99-05972 <br />APPLIED <br />07/23/1999 <br />00/00/0000 <br />01/19/2000 <br /> <br />WORK DESC <br /> <br />EXIST BEDROOMS: ~ <br />EXIST EMPLOYEE: 999 <br /> <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> PHONE <br /> <br />OWNER <br /> ADDRESS <br /> <br />PHONE <br /> <br />: REMODEL STORAGE BLDG TO BATHROOM - NO HISTORY <br /> <br />PROPOSED BEDROOMS : 99 <br />PROPOSED EMPLOYEES: 999 <br /> <br />130 TUMBLE ST DT <br /> <br />LUCAIUR: lUbEUIBCU4100 <br /> CITY: DETROIT <br /> <br /> ZONE: RS <br /> MAP: 105 <br />LAND USE: <br /> <br />HAMMOND ADDITION LOT: 14 BL: <br />90222-540 PARCEL: 5000,00 SF <br /> <br />USSELMAN.MICHEAL SCD~ DEQ INSTALLER: <br />4046 NE CULLY BLVD PHONE: <br />PORTLAND. OR <br /> 97213 DEQ LICENSE: <br /> <br />USSELMAN.MICHEAL SCO~ <br />4046 NE CULLY BLVO <br />PORTLAND, OR <br /> 97212 <br /> <br />**************--*----******************************************** <br /> UnJts DescrJption Fee <br /> i AuthorJzatJon w/Field VisJt 250.00 <br /> i DEQ Surcharge 30.00 <br /> <br />Assessed fees : 280.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 280.00 <br />PAYEE: USSELMAN,MICHEAL SCO~ Total payments: .00 <br /> Balance due : 280,00 <br /> <br />THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A RE¥IEW PROCESS WHERE <br />SOIL. FEASABILITY AND INSTALLATION REQUIREMENTS ARE CHECKED PRIOR TO THE ISSUANCE <br />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 <br />HAVE BEEN MET, YOU WILL BE NOTIFIED, <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:D0-4:30 Phone: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />