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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br /> BUILDING PERMIT <br />11/24/99 15:07 PERMIT NO <br />Conmerciat addition/alteration STATUS <br />S-3 ISSUED <br />V-N TO EXPIRE <br /> PAGE <br /> <br />99-07949 <br />ISSUED <br />11/24/1999 <br />05/22/2000 <br /> 1 <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br />APPLICANT <br /> ADDRESS <br /> <br /> PHONE <br />TOTAL SQ FEET <br /> <br />VALUATION <br /> <br />: INTERIOR REMODEL POR PULE BLDG AT NRTH MARION SCHL LOCATDR: 041W22B 01500 <br /> CITY: MARION COUNTY <br /> 20237 GRIM RD NE AR <br /> <br /> LOT: BL: <br />40905-000 MAP: 5R ZONE: EFU LAND USE: <br /> .00 AC <br />NORTH MARION SCHOOL DISTRICT OWNER : NORTH MARION SCHOOL DIST NO 15 <br />ANDY ANDERSON PHONE: <br />20256 GRIM RD CONTR :, <br />AURORA OR 97002 PHONE: <br />503 678-7107 OCCB: <br /> 1ST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br /> $3,000.00 STORIES: I HEIGHT: <br /> <br />Units Description Fee <br /> 1.0 Building Fee 38,50 <br /> 1.0 Plan Review Fee 25,03 <br /> i Investigation Fee 38.50 <br /> i State surcharge 2.70 <br /> i Zone surcharge 2.31 <br /> <br /> Assessed fees 107.04 <br /> Adjustments .00 <br /> Total fees 107.04 <br /> PAYEE: Total payments: 107,04 <br /> Balance due: ,00 <br /> <br /> THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUED DATE IF WORK <br /> HAS 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 /> WRITTEN REQUEST PRIOR TO EXPIRATION, ONE SIX MONTH EXTENSION MAY BE GRANTED, <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 hi re 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 /> <br /> SIGNATURE DF 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 /> <br />