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AppL Revd: Thurs <br /> <br />By: SR <br /> <br />Oate: <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.i-I. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 - 588-5148 <br /> <br />Byt <br /> <br />Type of Permit: residentia& .Tax Lotto: <br /> <br />Owner: Wesley Schuettpeltz <br /> <br />Bldr. & No.:_ R°13e~ ~¢ _~'--=~-~" '35~ <br />Plans by: builder <br /> <br />Twnshp. ~__Rge. / ~ <br /> <br /> Phone: Address: <br /> <br /> Phone: Address: <br /> <br />MaD Page ~ns. Zone Chg. Part. Cond. U~ Variance Fire Zone Occupancy Tyge of Const, <br /> <br />sin~le family residence <br /> <br />Lot No: <br /> <br />Water Supply: <br /> <br />Sewage <br />Disposal; <br /> <br />Area of Bldg: <br /> <br />Basement: <br /> <br />Heating <br />System: <br /> <br />BTU: <br /> <br /> Bik. No: ~ Sub dy. Camellia Heights ?~'// Lot Size ~ a~res Corner? __ <br /> <br /> well Valuadon:_ $ ~8~ 00,0,,00 <br /> septic t~eas- <br /> ~tudy: Permit Fee: ,,, lOgl~O <br /> <br /> No. 1 3.29 <br />1750 sq f~ Stories;_ Stere Surcharge: <br /> <br />heat pump <br /> <br />Roof <br />Type: <br /> <br />shake - stick fram~a~s Chk. Fee: <br /> <br /> Total Fees: ,,, 150,29 <br /> No; ¢*/7 <br /> <br />I agree to build according to the submitted plans and ~peclfications, the laws of the State of Oregon and the Ordlnance~ of Mar/on <br /> <br />County. Permit exp/rea if work not commenced wi, th~2,0, days. <br />SIGNATURE OF APPLICANT '~.J~'-¢~/ ./__Tx/~? .,..-,;;..~,/ <br />VALIDATIONS: ] <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 />