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Appl R'cvd, <br /> ? <br /> <br />8y~ KN <br /> <br />Date;: <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> 3180 Center St., N.E. <br /> Salem, Oregon 97301 <br />R.H. WITHROW, BLDG, ADMINISTRATOR <br />588-5147 - 588-5148 <br /> <br />Permit Number <br /> <br />Bldg. Permit:' ;~:NGINS T,~;SC F"~-~T¥ ~ ~ , ~ Location Permit: <br /> <br />Address:: .................. R~., ~'~9 A,RN~}2 RD. ~[IROR~ <br /> <br />Owner~ COLNM[~IA L'[TiL1COPT' N ~6--7~6~ . S'MI' <br /> Phon~ ~ddress: ............. } <br /> <br />BIdr. & No - Sh }}N% CON T UCJ.[eN Phone: / .... Address: <br /> <br />City: <br /> <br />Map Page <br /> <br />Use of Bldg,:: <br /> <br />Betback$: <br /> <br />Type of Const, <br /> <br />Lot Not BIk, No::,, , <br /> <br />Sub dy. <br />Size of Lot: 15 %CRES <br />Area of Bldg:: __ 450 '~Q.PT. <br />No, of Stories: ONl'~ <br />Basement:: NO <br /> <br />Water Supply: <br /> <br />Sewage Feas. <br />Disposal:: 'lc Study? <br /> <br />Valuation: $ 75~000. <br /> <br />.... Corner?.__ Permit Fee;; <br /> <br />Plans Chk,, Fee:: 112.75 <br /> <br />State Surcharge::. 6.75 <br /> <br />Septic Permit Fee: <br /> <br />Type of Roof: Total Fees:: 345.02 <br /> Rapt. No,, ~ <br />I agree to build according to the ~ubmi,~lan$ and spec/f/cations, the laws of the $~ate o~ Oregon and the Ordinances of Marion <br />C°unty" Perrnit exp/re$ if w°rk n~,c°~iithin120 claJz&- ~'.~-- <br />VALIDA~IONS: ' ' ~ <br />ZONING/~ SEPTIC TANK PLANS . , , ~ <br /> <br />REMARKS <br /> <br />PLEASE NOTE;; Driveway and sidewalk inspections are required by Public Works;; 888-5036 <br /> Other permits required by this dept: Plumbing [] <br /> <br /> <br />