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Appl. Reed: <br /> <br />WEDNESDAY- <br /> <br />PATTY <br /> <br />1-11-84 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building # 225 <br /> 220 High St., N.~=. 2od 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 />Permit No, ~ <br />By: /,t~ <br /> <br />Address; 12384 N. STAYTON RD Sit AUI~VILLE <br /> <br />Owner: C-~R~R~"~ Phone: 769-5915 ,, <br />Bldr, & No,: .... LT:~SU~LND Phone: . <br /> <br />Plans by: Phone: <br />Map Page Zone Part. Cond. U~ <br /> <br /> 3 <br /> <br /> 5 <br /> Tax Lot No: 612&4-000 <br /> <br />Address: SAZ~ 97325 AU~$VILLE <br />Address: <br />Address: <br /> <br />RESIDENCE <br /> <br />MJn Req, Front Sides Rear <br /> <br />Lot No,, BIk, No,:__Sub dv. <br />Area of Bldg.' 2nd Base- <br />Main Fir .... Fir. ment:__ <br /> <br />Total <br />Area: 16,X70 <br /> <br />Roof Type: Truss/Stick: <br />Heating Wood <br />System: ........... Stove: <br />Septic Tank New <br />Site Evah Instal- <br />Exist. No, <br />System~ YES Gals,, <br /> <br />Water <br />Supply:~ <br /> <br />750 sallon ...... <br /> <br />VALIDATIONS: <br />Zoning: /~) /') Mechanical: <br /> Date: <br />Septic' Tank: /~l~- I --I ~/-~ L~ <br /> Plans: <br /> <br />I agree to build according to the submitted plans and specifications, ~e laws of the <br />of Oregon and the Ordinances of Marion County. Permit expires if work not commenced <br />within 180 day=. I further expresdy warrant that I ~mply with the provisions of ORS <br />701,005 ~ 701~ 125 because: <br /> ) I am performing work on a property I own or occupy <br />( <br /> <br />Lot Size ,92 A~ .Carner? NO <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: __ <br /> <br />35.00 <br />10.00 <br /> <br />1.80 <br /> <br />) I om o registered builder OR ( ) the authorized <br /> representative of o registered builder <br /> <br />Plans Chk. Fee:, <br />Septic Tank <br />Permit Fee~ ~1'1: 0~ ...... <br /> <br />DEQ Surcharge;,~__ <br /> <br /> TOTAL FEE: ]~)~ ~5~5 ..... <br /> RECEIPT NO.: 71~-~ <br />) The work will be performed by a registered builder <br />) Other (please specify) <br /> <br />REMARKS: <br /> <br />PLEASE NOTE: Driveway and sidewalk inspe~ons are required by Public Works; 588-5036 <br />Other permits required by this dept; Plumbing [] Electrical [] <br /> <br /> <br />