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Appl, Revd: <br /> <br />~y~' oR <br /> <br />CR Monday <br /> <br />5/3o/78 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION' <br /> Downtown SeP, ator Build[hQ <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: s,eptic tank repair <br /> <br />Address: 8561 Little Road SE, Aumsv~lle 97325 <br /> <br />Owner: Stephen L. Sturdive~t Phone:. 749-2622 <br /> <br /> Tax Lot NO: <br /> ~Sec. _ Twnshp. ~ <br />Address: SaR <br /> <br />Rge. <br /> <br />Bldr. & No.: Mikes Septic <br /> <br />Phone: <br /> <br />Address: <br /> <br />Plans by: Phone: <br />Map Pego ;.~one" ~'one Chg.··'Pert' Cond. Use <br /> <br />Sir~le family res. 4 bedroom <br /> <br />Address: <br /> <br />Mi~ Req, Front Sides Rear <br />Setbacks: <br /> <br />Lot No: ~BIk. NO: Sub dy. <br /> <br />Lot Size Corner? ,, <br /> <br />Water Supply: ~e] ] __ Valuation: <br />Sewage at prosent Feas. existing <br />Disposal; ~['~ C,~9 9 n~ Study: -- 1~,~]('~ -- Permit Fee;_ <br /> No, <br />Area of $1dg; Stories;_ State Surcharge: <br /> Roof <br />Basement: Type: Plans Chk, Fee; <br />Heating <br />System: Septic Permit Fee: $25 ~ O0 <br /> <br />BTU; _,, Total Fees:_ $25°00 _ <br /> <br />Rcpt. No; .... ,2 C <br /> <br />agree tO build accordln~7 ~o the aubrnitted plans and apecifications, the law~ of the S~a~e of Oregon and the Ordinancea of Marion <br /> <br />SIGNATURE OF APPLICANT:__( ¢'¢/f-¢%-, ¢_~-¢~1~;"¢¢¢~' <br />VALIDA~ONS; ~ p~ v~ <br />ZON~NG~ ,j [ / S~ ~ PLANS <br /> <br />· TanI,: has failed° New t~cok 'to replace the ew4stfio~ one. ?to~se to be built later <br /> Sa/lie place as present one is located. <br /> <br />PLEASE NOTE: Driveway and sldewalk inspections are required by Public Works: 588-5036 <br />Other permits required by this dept: Plumbing [] Electrical [~ <br /> <br /> <br />