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Appl. Revd~ Tt~t e sd e~' <br />By; dm <br /> <br />Date: 41~.179 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building ~ 295 <br /> 220 High St., N.E. 2nd Floor <br /> Salem, Oregon 97301 <br />R.H. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 - 588-5148 <br /> <br />Type of Permit: Hob[lo [~oae - ~AILDSHZP <br /> <br />Address: .......~723 Shew Square flood, S. Aums~:L].le <br /> <br />Owner; Patr~C~e~ ~[a ') Phone: 36~-2010 Address: <br />~ldr, & No.: 58Bt~ ~b~[e ~ Phone: Address: <br /> <br />Plans by: Phone: Address: <br /> <br />Tax Lot No: <br /> <br />Sec. 3,3 <br /> S~e <br /> <br /> 8 2W <br />Twnshp. Rge. <br /> <br />Oregon <br /> <br />M~p P~.~ Zone Zone the, Port, Cond, Use <br /> ~5 79-2,~ <br />Use of Bldg,: No Bdrms. <br /> <br />Lot No: BIk, No: Sub dy. <br /> <br />Lot Size _~...~l~or ne r? BO <br /> <br />Water Supply: Valuation; <br />Sewage Site <br />DisposaL'. Evah Permit Fee: <br /> No. <br />Area of Bldg: 1~ :~ 56 Stories: State Surcharge; __ <br /> Roof <br />Basement: Type: Plans Chk. Fee: <br /> <br />Heating <br />System: .__..--~..q,.T.~.e..~.J&..~ 1~3,ec septic Permit Fee: <br /> <br />15 <br /> <br />_~.60 <br /> <br />BTU: <br /> <br />Total Fees: 15.~0 <br /> <br />B pt. No: <br /> <br />/ agree to build according to the submitted plans and spec/f/cat/one, the laws of the State of Oregon and the Ordinances of Marion <br />County. Permit expires if work not commenced within 120 day~. <br /> <br />SIGNATURE OF APPLICANT: ~.~ ~t~ . <br />ZONINL,~4~),VALIDATIONS:B~ ~ SEP <br /> REMARKS <br /> ~x&et$~ h~e has 3 be~ro~e <br /> <br />Septic Tank ? Aa[l~s. ~n~hh oE dra[n£&elde <br />Septic tank ~.s work~-t3g ok et; present. <br /> <br />PLEASE NOTE; Driveway and sidewalk inspections are required by Public Works; <br /> Other permits required by this dept; Plumbing L~ Electrical <br /> <br /> <br />