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MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> TUESDAY Senator Building #225 <br />Appl, Recd,; 2':)0 High St.1 N.E. 2nd Floor Permit No,: <br /> PATTY Salem, Oregon 97301 <br />By: 588-5147 -- 588-5148 By' <br /> <br />Date: 11-13-84 5:00 P,M ....................... CODE-A-Phone ...................... 8:00 A,M. Date: <br /> <br /> DEMOLITION PERMIT <br />Type of Permit: .Tax Lot No,: <br /> <br /> 9824 WEST STAYTON RD SE AUMSVILLE / <br />Address; Sec.; __ <br /> <br />Owner: LEROY DATJ(]g _Phone: 749-2956 Address: <br /> <br />Bldr, & NO.:. $~ ,Phone: ...... Address: <br /> <br />Twnshp,: ¢~¢' Rge,: ~ ~ <br />9531 SHAFF RD SE AUM~VILLE <br /> <br />Plans by; Phone: <br /> MaS Page 2~0~/ Zone Change Part. Cond. Use Variance/Adj. FT/FD Occupancy ' Type of Const. <br /> <br />RESIDENCE <br /> <br />Lot No.: BIk, NO,: ...... Sub. dv ' .Lot Size; Corner? ..... <br />Area of Bldg. 2nd Base- Total <br />Main Fir.: Fir,: _ment: Area: !800 sq :f% Valuation:__ <br /> Bldg. Permit 10.00 <br />Roof Type: Truss/Stick:_ Height:. Fee: (+ 5%) o 50 <br /> <br />Heating Wood Water <br />System: ..Stove: .Supply: Elect, Fee: L <br />Septic Tank New <br />Site EvaL: _instal.: Mech, Fee; <br />Exist, No. <br />System: .Gals.: Plumb, Fee; ........ <br /> State <br /> <br />VALIDATIONS: Surcharge: (4°/° } .40 <br />Zoning; Mechanical: <br />Date: .Date: Plans Chk, Fee; ........... <br />Septic Tank; Plans: //~,_~_/d~y Septic Tank <br />Bate; Date; ~ Permit Fee: <br /> / -- <br /> <br />I agree to build according to the submitted plans and specifications, the laws of the DEQ Surcharge: <br />State of OregOn and the Ordinances of Marion County. PERMIT EXPIRES IF WORK <br />NOT COMMENCED WITHIN 180 DA YS. I further expresely warrant that I comply with TOTAL FEE: '10~90 ..... <br />the provisions of ORS 701,005 to 701.125 because: RECEIpTBLDG' NO.: 23./'~// <br />( ) I am performing work on a property I own ( ) The work will be performed Driveway <br /> or occupy by a reglatered builder Permit Fee: <br />( ) I am a registered builder OR ( ) the ( ) Other (please specify) Site Plan <br /> authorized representative of a Review Fee:. <br /> registered builder Public Works <br /> Receipt No,: <br /> <br />REMARKS: <br /> <br />I have read this application in its entirety and certify that the stated information is true and correct to the best of my knowledge. <br />Si G NAT U R E O F A p PLiCAN T: ~",.'7~LJ"~G"~ ~~ <br /> PLEASE NOTE: Driveway an ewalk inspection are required by Public Works: 588-5038 <br /> <br /> Other permits required by this dept.: Plumbing g3 Electrical [] Mechanical [2 <br /> <br /> <br />