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DATE/TIME 08/20/99 16:55 <br />TYPE Commercial addition/alteration <br />OCCUPANCY U-2 <br />CONST TYPE V-N <br />UGB: SITE: <br /> <br />WORK DESC : DUSI COLLECIION BLUG <br />SITE ADDRESS <br /> 23261 HUBBARD CUTOFF NE AR <br /> <br />SUBDIVISION LOT: <br />TAX ACCOUNT 40177-000 MAP: 3R <br />PARCEL SIZE 26,00 AC <br /> <br />APPLICANT VAN MOUWERIK STEVE <br />ADDRESS 22261 HUBBARD CUTOFF NE <br /> AURORA OR 97002 <br /> <br /> PHONE <br /> <br />TOTAL SQ FEET <br /> <br />678-2390 <br /> <br /> 1ST FLR: <br /> GARAGE: <br /> <br />BUILDING APPLICATION <br /> ACTIVITY NO <br /> STA~S <br /> APPLIED <br /> TO EXPIRE <br /> <br />99 06892 <br />APPLIED <br />08/20/1999 <br />02/16/2000 <br /> <br />LUCATOR: D41WOZq D12UD <br /> CITY: MARION COUNTY <br /> <br /> BL: <br />ZONE: EFU LAND USE: <br /> <br />OWNER : ANDERSON HAY & GRAIN <br /> PHONE: 503-678-2390 <br />CONTR : <br /> PHONE: <br /> OCCB: <br /> <br />2ND FLR: 3RD FLR: <br />BASEMENT: OTHER: <br /> HEIGHT: 27 <br /> <br />VALUATION : $57,000.00 STORIES: 1 <br /> <br /> Units Description Fee <br /> 1.0 Building Fee 304~00 <br /> 1.0 Plan Review Fee 197.60 <br /> 1 State surcharge 21,28 <br /> 1 Zone surcharge 18.24 <br /> <br /> Assessed fees 541.12 <br /> Adjustments ,00 <br /> Total fees 541,12 <br /> PAYEE: Total payments: 541.12 <br /> Balance due : ,00 <br /> <br /> THIS IS NOT A PERMIT. THIS APPLICATI0N 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, tf I hire subcontractors, I will hire only sub- <br /> contractors registered with the Construction Contractors Board. If t change my <br /> mind and do hi re a general contractor who is registered, I will immediately <br /> notify Marion County of ~he name of~che contractor, ~~' <br /> [ ]~, am the CONTRACTOR re~teF~wi~t~e State of Oregon,~ <br /> [~'j~I am an AUTHORIZED RE~RE~E~Al~VE~b~he property~r contractor. <br /> SIGNATURE OF APPLICANT: <br /> <br /> DONALD E WOODLEY, MARION Coati'BUILDING OFFICIAL / BY MBULL <br />CALL BEFORE YOU DIG...IT'S THE LA~ Oregon law requires 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 I~'~ll~m~I ~'~11-.~9~305-1398 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147r~'I,s~icl~fine: (503)373-4427 <br /> <br /> <br />