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Appl. Rev~ ~¢)hur$ <br /> <br />Date: 12-20-78 <br /> <br /> MARION COUNTY <br /> DEPY. OF BUILDING INSPECTION <br /> Downl;owrl Senator Building <br /> 220 High St., N.E. 2nd Floor <br /> Salem, Oregon 97301 <br />R.~{. W[TRROW, BLDG. ADMINISTRATOR <br />588-5147 -- 588-5148 <br /> <br />Type of Permit: ~,(,~,; ,,S,;ldence <br />Address;_ !~56! Li'Lttle Rd..;o.1!;. <br /> <br />Aumsville <br /> <br />,?If,?_ ~ ~ ~ o Add ross: <br /> <br />Tax Lot No: <br /> <br />BIdr. & No.: ~'~.me Phone: Address: <br /> <br />Plans by; TSr~se .3 :;cn,~s Phone: <br /> ,, m. Res. 5 ~ bedrooms <br /> <br /> Address: <br />Variance I Fire Zone <br /> <br />Min Req, <br />Setbacks: <br /> <br />Front Sides I Rear <br /> <br />Lot No: BIk. No;_ Sub dy. <br /> <br />, Lot Size., lgr8 ac¢"e~orner? <br /> <br />Water Supply; well <br /> <br />Sewage exRsting Feas, l'~rmit; 398 <br />Disposal: ':~o~/.i ( ,, Study: <br /> <br /> ~o~6 NO. <br />Area of Side; Stories: ~ <br /> no Roof <br />Basemen[: T~e; ,¢;¢~m?. truss <br />Heating n~L'/:~,;;'u. TL Cas ~ wood <br />System: <br /> <br />Valuation: <br /> <br />Permit Fee:., <br /> <br />State Surcharge: <br /> <br />Plans Chk. Fee: <br /> <br />Septic Permit Fee: <br /> <br />$ 50~000.00 <br /> <br />BTU: <br /> <br />Total Fees: <br />Rept. No; <br /> <br />I agree to build according to the submittal plans and spe:ificatJons, the Jaws of the Stat¢ <br />Count. Permit expires if work not commenced within <br /> <br />SIGNATURE OF APPLICANT: <br />VALIDATIONS: <br /> <br /> :z <br /> <br />REMARKS <br /> <br />,~ of Marlon <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: 588-5036 [~¢~., ,~[~" <br />Other permks required by this de~: Plumbing ~ ElectrlcaJ ~ ~ <br /> <br /> <br />