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Appl Recd <br />8y::.__ Dot:tie <br />Date 8/28/84. <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> senator Building #225 <br /> 220 High St. N,,E,, 2nd Floor Permit No <br /> Salem, Oregon 97301 <br /> By: <br /> 588-5147 -- 588-5148 <br />5::00 P.M ......... CODE-A-Phone .............. 8 00 AM <br /> Date; <br /> <br />84-1463 <br /> <br />9-12-84 <br /> <br />Type of Permit Mobile home replacement <br /> <br /> 7263 Shaw Hwy. Aumsville <br />Address <br /> <br />Owner Wayne ~.eho Phone <br /> <br />Bldr & No, DONALD R. COSTA~ &E~-C~one: Address:: <br /> <br />Plans by .Phone:: <br />Map Page I zon ~L Zone Change Part Cond Use Variance/Adj <br /> I <br />USe of Side NO Bdrms MJn Req <br /> or Ccc LO 3 Setbacks:: <br /> <br /> Tax Lot No, 57788-000 <br /> <br />Sec 25 Twnshp 8 .Pge:: <br /> <br /> 7323 SF~W H~rY SE <br />Address:: <br /> <br />2W <br /> <br />Address ....... <br /> FT/FD ] Occupancy I Type of Const <br /> <br />Lot NO::.__ BIk NO Sub, dY:: <br />Area of Bide 2nd Base- Total <br />Main Fir,:: .Fir ment: ,..Area: 48x26 <br /> <br />Roof Type:: __ Truss/Stick:: ...... Height:: <br />Heating Wood Water <br />System Stove Supply:: <br />Septic Tank New <br />Site Eval, Instal, <br />Exist No <br />System Gals:: <br /> <br />VALIDATIONS:: <br /> <br />Date ~ I tI~LAJ/~ <br />Septic Ta~k t//~-- Y ~'~' J P~atDes -- <br /> <br />t agree to build according to the submitted plans and apecihcations, the laws of the <br />State of Oregon and the Ordinances of Marion County,, PERMIT EXPIRES IF WORK <br />NO T COMMENCED WITHIN 180 DA YS. I further expressly warrant that I comply with <br />the prows/one of ORS 701,005 to 701.125 because: <br /> <br />I am performing work on a property I own <br />or occupy <br />Iarn a registered builder OR ( ) the <br />author/zed representative of a <br />registered builder <br /> <br />( ) The work will be performed <br /> by a registered builder <br />( ) Other (please specify) <br /> <br /> 'Zo'tO'C__-- .'7-'O <br /> <br />Lot Size:: ,4 ,,Acres, , Corner? no <br /> <br />Valuation <br />Bide, Permit <br />Fee, (+ 5%) 2.50 <br /> <br />Elect Fee:: <br /> <br />hiring elec. <br /> <br />Mech Fee __ <br /> <br />Plumb Fee, <br />State <br />Surcharge (4%) 2.OO <br /> <br />Plans Chk Fee:: <br />Septic Tank <br />Permit Fee:: <br /> <br />DEQ Surcharge, <br /> <br />60.00 <br />5.00 <br /> <br />TOTAL FEE, 119.50 <br />BLDG <br />RECEIPT NO" <br />Driveway <br />Permit ~ee:: <br />Site Plan <br />Review Fee:: <br />Public Works <br />Receipt No <br /> <br />REMARKS:: __ <br /> <br />I have read thi~ appficat¢on in its entirety and certify that the stated information is true and correct to the best of my knowledge <br /> <br />SIGNATURE OF APPLICANT:: <br /> PLEASE NOTE:: Driveway and sidewalk inspection are required by Public Works:: 588-5036 <br /> <br /> Other permits required by this clapt,,, Plumbing [] Etectrical [] Mechanical [] <br /> <br /> <br />