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Appl. Reed: <br />8y: Dottie <br /> <br />Date~ 2/27/84 <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br />Senator Building # 225 <br />220 High S'~., N.E. 2nd Floor <br /> Salem, Oregon 97301 <br /> <br /> 588-5147 - 588-5148 <br />5:00 P.M.- ........... CODE-A-Phone 588-5373 ........... 8:00 A.M. <br /> <br />Type of Permit: <br /> <br />Single Family D~elling <br /> <br />Tax Lot NO: <br /> <br />Sec. ~ Twnshp. ~Rge, <br /> <br />8053 Mill Creek Road, SE Aumsville <br /> <br />Address: <br />Owner: Brian ~ Phone: 749-211 2 ~10~Address: <br />Bldr. & NO.: ~orett Wheeler Phone: 749-2396 Address: <br /> <br /> Mop Page "' Zone ~ne Chg. Pert. ~. U~ <br /> ~[ ~., <br /> ~es~e~ce <br /> <br />sa, me <br /> <br />Address: <br /> <br />Lot No.: ,, BIk. No,;, Sub dy. Lot Size~17x300 Corner? ~res <br />Area of BId~. 2nd Base- Total <br />Main I:{r,:~000 Fir.;_ 400 ment: Areo~ ~b~)O sq :['~c. Valuation:_ 38,000. <br /> Bldg. Permit ~'07'10 <br />Roof Type: COmp Truss/Stick: tZ~sS/stick Fee: ( + 5%) 10.36 <br /> <br />Heating Wood Water <br />System: Gas Forced airttove: ~t'es Supply: w~ll Elect. Fee:, <br />Septic Tank New 23°50 <br />Site Evah 8-78-1,~ Instal · Mech, Fee: ,. <br /> <br />Exist. No. 60.00 <br />System: 7'1~ Gal~.: ,, Plumb. Fee:- <br /> State <br /> <br />VALIDATIONS: Surcharge~ <br /> <br />Zoning: ~1 ~), <br /> · Date: ,, Plans Chk. Fee: <br /> <br />I agree to build according to the submitted plans and specifications, the laws of the ~fafe DEQ ~urcha~ge:~ ~.~ <br /> <br />~ O~gon and the Ordinances of Marion County. Permif expires if work not commenced <br />within 180 days. I further expressly warrant that I comply wifh the provisions of ORS TOTAL FEE: .. <br /> <br />701,005 ~ 701.125 because: · <br />( ) I am performing work on a property I own or occupy · <br /> ) I am a registered builder OR ~ ) the authorized <br /> representative of a registered builder <br /> <br /> RECEIPT NO,: ,,, <br />The work will be performed by a registered builder <br />Other ~'please specify) <br /> <br />/ have read this application in its entirety and certify that the stated information is true end correct to the best of my knowledge, <br />SIGNATURE OF APPL~CAN~ _~--~~ <br /> PLEASE NOTE: Driveway and sidewalk inspections are required by Pubtic Works: 588-5036 <br /> Other permits required by this dept: Plumbing [] Electrical [] <br /> <br /> <br />