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MARION COUNTY <br /> · *' DEPT. OF BUILDING INSPECTION <br /> Senator Building ~ 225 <br />Appl.' ,~.~vd: h~D.~Y 220 High St., N,,E. 2nd Floor Permit No. ..... <br />, Salem, Oregon 97301 ,~ <br /> <br /> By: CH;, YL R.H. WITHROW, BLDG, ADMINISTRATOR By;: <br /> 588-5147 - 588-5148 <br /> 1-21-80 5:00 PM.- ........... CODE-A-Phone 588-5373 ........... 800 A.M. / <br /> Date;; <br /> <br /> ENGii'4E TEST FACILITY FOR COL~MBIA HELICO~T£RS Tax Lot No: <br />Type of Permit: <br /> <br />Address: , ' ' ~ ,,~ ~; ~~wnsnp, ~ge,, -v _ <br /> 3500 or <br /> ( CCLOMSlA E~ICOPT~ ~636-766~ > ~.. <br />Owner;;~ ........... Phone:~ Aaoress:,, 1333 O~ <br /> <br />Bldr, & No,= , Phone' A~aress: <br /> ;~ ME 97Q34 <br /> <br />Plans byt Phone: Address;; <br /> Map Page I Zone I Zone Chg Part, Cond, Use Variance Fire Zone Occupancy Type of Con,t,, <br /> <br />Use of Bide :; No Bdrrna, Nlin Req. Front ~, Sides ' Rear <br /> <br />Lot No:: <br /> <br />Water Supply: <br />Sewage <br />Disposal:; __ <br /> <br />Area of Bidg; <br /> <br />Basement:: <br /> <br />Heating <br />System: <br /> <br />RIk. No: Sub dv, <br /> <br />1310 <br /> <br /> Valuation; <br /> <br />Site 317.00 <br />Eval: Permit Fee:: <br /> <br />No. 12,68 <br />Stories:..../ State Surcharge:: <br /> <br />Roof 158.50 <br />Type: concret~ Plans Chk. Fee;; <br /> <br />Septic Permit Fee: __ <br /> <br />Lot Size,._~ AC Corner? <br />$, 120,000.00 <br /> <br />BTU;: .... Total Fees;; <br /> <br />Rcpt. No;; <br /> <br />VALIDATIONS: <br />ZONING SEPTIC TANK PLANS <br />By:: <br /> <br />I agree to build according to the submitted plans end specifications, the /a~v$ of the State of Oregon and the Or/dnances of Marion <br />County. Permit expires/f work not commenced within 120 days, I furhter expressly warrant that I comply with the provis~bns of ORS <br />701.00~ to 70 I. 125 because: <br /> <br />( ) lamareglsteredbu//deror( ) theauthorizedrepre~entativeofaregi~teredbuilder <br />( ) The work will be performed by a registered builder <br />( ) lernperform/n£workonaproper~y/ouvnoroccupy <br />( ) Other (please specify) <br /> <br />REMARKS .... <br /> <br /> Q~IGIK,,~L PERMIT FOR ~NGiN~ T~'ST F~-,CILITY ~SSU~' AS 76--2749 BUT NEVLR BUILT <br /> <br />I have read this application in its entiYety and certify that the stst~ information iS true and correct to the best of my knowt~ge, <br /> <br />SIGNATURE OF APPLICAN ~ ~ ~ ~ , <br /> PLEASE NOTE;: Driveway and sidewalk inspections are re~red by Public Works;; 588-5036 <br /> Other permits required by this dept: Plumbing ~ Electrical ~ <br /> <br /> <br />