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Appl, Recd,: MOi~DA¥ <br />By: F,,~,T i'Y <br />Date: 3-10-86 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building #225 <br /> 220 High St,, N,E, 2nd Floor <br /> Salem, Oregon 97301 <br /> <br /> 588-5147 -- 58875148 <br />5:00 P.M ....................... CODE-A-Phone ...................... 8:00 A.M. <br /> <br /> 86-169 <br />Permit No' <br /> <br />By: Patty <br /> <br /> 3-13-86 <br />Date: <br /> <br />Type of Permit: EXISTING SYSS~EM ~PORT ~OR LOAN <br /> <br />Address: _.~8~0~ MILL CREEK RD gE AUMSVILLE 97325 <br /> <br />Owner: BRIAN & T~Y B~CX _Phone: 749-2112 <br /> <br /> Tax Lot No,: <br /> <br /> Sec.: _-'~ Twnshp.: ,~ Bge.:~.~ <br />.... Address: <br /> <br />Bldr. & No' Phone: Address: <br /> <br />Plans by: _Phone; ............ <br /> Map Page Zone Zone Change Part· I ConS. USe <br /> <br /> or Ccc. Ld.: <br /> __~CE 4 <br /> <br />Lot NO.; Elk, No,: Sub, dy,; <br />Area of Bldg, 2nd Base- <br />Main Fir,: _Fir,: .ment: <br /> <br /> Address: <br />Variance/Adj. [ FT/FD Occupancy Type of Const <br /> <br /> [ <br /> MIn Req. Front Sides Rear <br /> Setbacks: <br /> <br />Total <br />Area: <br /> <br />,Lot Size: 18~x300 Corner? yes <br /> <br />Roof Type:. <br />Heating Wood <br />System; Stove: <br />Septic Tank New <br />Site Eval.; Instal.: <br />Exist. No. <br />System; 7'es Gals.: <br /> <br />Truss/Stick- Height: <br /> Water <br /> Supply; we3-;]- <br /> <br />VALIDATIONS: <br />Zoning: Mechanical: <br />Date; /p ..~ Date: <br />Septic Tank: Plans; <br />Date: I Im¢ , <br /> <br />Valuation: <br />Bldg. Permit <br />Fee: (+ 5%) <br /> <br />Elect. Fee: <br /> <br />Mech, Fee; <br /> <br />Plumb, Fee: <br />State <br />Surcharge: (4%} <br /> <br />Plans Chk. Fee: <br />Septic Tank <br />Permit Fee: <br /> <br />60. O0 <br /> <br />I agree to build according to the submitted plans and specifications, the laws of the <br />State of Oregon and the Ordinances of Marion County. PERMIT EXPIRES IF WORK <br />NO T COMMENCED WI THIN 180 DA YS, I further expressly warrant that I comply with <br />tl~e provisions of ORS 701.005 to 701.125 because: <br /> <br />( ) I am performing work on a property I Own <br /> or occupy <br />( ) I am a registered builder OR ( ) the <br /> authorized representative of a <br /> registered builder <br /> <br />( ) The work will be performed <br /> by a registered builder <br />( ) Other (please specify) <br /> <br />OEO Surcharge; <br />TOTAL FEE: 60.00 <br /> <br />RECEIPT NO.: //J.-~'/~ <br />Driveway <br />Permit Fee: <br />Site Plan <br />Review Fee:. <br />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 /> · , <br />SIGNATURE OF APPLICANT: " <br /> PLEASE NOTE: Driveway and sr'd~'walk inspection are required by Public Works: 588-5036 <br /> <br /> Other permits required by this dept,; Plumbing [] Electrical [] Mechanical [2 <br /> <br /> <br />