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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />WORK OESC <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 /> BUILDING PERMI~T~ <br /> <br />Residential accessory struct - <br /> <br />U-1 ISSUED <br />V-N TO EXPIRE <br /> PAGE <br /> <br />99-08458 <br />ISSUED <br />10/14/1999 <br />04/15/2000 <br /> 1 <br /> <br />ADDIIION lO EXISIING GAR,qBE <br /> <br /> 4736 DREW ST NE SL <br /> <br />JAN REE EST 4 LOT: 2 BL: <br />72210-320 MAP: ZONE: RS LAND USE: <br /> .00 AC <br />DAGGETT DOUGLAS OWNER : DAGGE~ DOUGLAS <br />4736 DREW ST NE PHONE: 390-6382 <br />SALEM OR CONTR : <br /> 97305 PHONE: <br />390-6383 0CC8: <br /> 364 ZST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: 364 BASEMENT: OTHER: <br /> $5,922.28 STORIES: 1 HEIGHT: <br /> <br />LOCAIDR: U72WOBADN29DO <br /> CITY: MARION COUNTY <br /> <br />14 <br /> <br />Units Description Fee <br /> 1.0 Building Fee 56,50 <br /> 1.0 Plan Review Fee 36.73 <br /> 1 Investigation Fee 5B,50 <br /> 1 State surcharge 3.96 <br /> 1 Zone surcharge 3,29 <br /> <br /> Assessed fees 157,08 <br /> Adjustments .00 <br /> Total fees 157.08 <br /> PAYEE: Total payments: 157.08 <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 hire a general contractor who is registered, I will immediately <br /> notify Marion County of the name of the contractor, <br /> [ ] I am the CONTP~ACTOR registered with the State of Oregon. <br /> [ ] I am an AUTHORIZED REPRESENTATIVE of the property owner or contractor. <br /> <br /> SIGNATURE OF APPLICANT: <br /> <br /> DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY JSKYBERG <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 />