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Appl, Revd~. <br />By:: jkh <br />Date:: <br /> <br />}londay <br /> <br />September 19~ 1977 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Downtown Senator Building <br /> 220 High St,,, N.E. 2nd Floor <br /> Salem. Oregon 97301 <br />R.H. WITHROW, BLDG. ADMINISTRATOR <br />688.6147 - 5S8-5148 <br /> <br /> residence <br />Type of Permit:: <br /> <br />Address;;_ <br /> <br />5027 ~amore Drive.~ Cascade Park <br /> <br />Owner: Robert }[. Havil~{d <br /> <br /> self <br />Bldr,, & No,,:: <br /> <br />Plans by; self <br /> <br />Zone Cho <br /> <br />Phone: 362-1355 <br />__ Phone: <br />Phone: <br /> <br /> _Tax Lot No: 15875-%07 <br /> <br /> Sec 12 & +~nshp,, 8$ Rge. <br />Address: 5068 Charleston Dr <br /> <br />2w <br /> <br />Address;; <br /> <br />Address: <br /> <br />Use of [Sdg <br /> <br />Lot No:; 7 <br /> <br />Water Supply:; <br /> <br />Sewage <br />Disposal;; septic <br /> <br />Area of Bldg. <br /> <br />Basement;; __ <br />Heating <br /> <br />single family residence <br /> <br />BTU:: ........ <br /> <br />,Slk,, No: 1 <br />well private <br /> <br />Min <br /> <br />Sub dy,, <br /> <br />Cascade Park <br /> <br /> Peas, <br /> __Study: yes <br /> <br /> No, <br /> 2764 sf Stories: <br /> <br /> Roof <br /> Type:: split shake <br /> <br />electric <br /> <br />Valuation; <br /> <br />Permit Fee;; <br /> <br /> 3 ac <br />Lot Size Corner? <br /> <br />32,000.00 <br /> <br />State Surcharge:: __~.62 <br /> <br />Plans Chk. Fee;; <br /> <br /> 37.50 <br />Septic Permit Fee:: <br /> <br />Rcpt. No; <br /> <br />I agree to build accord;rig to the submitted plans and specjRCation$, the law¢ of the State of Oregon and the Ordinances of Marion <br />County. Permit expires if work not c~menced wfthin 120 days. <br />SIGNATURE OF APPUCANT:: ~ ~ .,,,,~ <br />VALIDATIONS:: <br />ZONING~ SEPF~ [' ,~ --~. PLANS <br /> <br /> REMARKS <br /> <br />PLEASE NOTE:: Driveway and sidewalk inspections are required by Public Works;; 588-5036 <br />Other permits required by this dept: Plumbing [~ Electrical [] <br /> <br /> <br />