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Th~re<tay ~/' <br /> Appl. R'cv, d, <br /> <br />D~te:~ ].976 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> 3180 Center St., N.E. <br /> Salem, Oregon 97301 <br />Fi.N. WlTHROW, SLDG, ADMINISTRATOR <br />588-5147 -- 588-5148 <br /> <br />By; <br /> <br />Date; <br /> <br />Permit Number <br /> <br />Bldg. Permit: <br /> <br />Owner; ]~i1~ ~QAiIIId~A <br /> <br />Bldr. & No,: iiailm: <br /> <br />Plans by: <br /> <br />Location Permit; <br /> <br />Phone:~ll~--~t&~ Address: ammM. <br />Phone: Address; <br /> <br />Phone:__ Address: <br /> Cond. Use I Vo¢iance [ F/co Zone <br /> <br />City; <br /> <br />Occupancy <br /> <br />Type of Cons[. <br /> Rear <br /> <br />Use of BIc~I.: Min Req. Front Sides <br /> <br /> ' IP~IL" Sewage ~ *lEl[l'_it"~'alilFeas~, <br />Lot No: RIk. No: Water Supply~ Disposal: I~elP~fug Study? <br /> <br />Sub dy. Valuation; <br />Size of Lot: ],~ 8~ Corner?.__ Permit Fee: <br />Area of Bldg; ]~.1 I~t'~l~ Plans Chk. Fee: <br />No. of Stories: :~ ~ State Surcharge: <br /> <br />Basement; m,.-w. Septic Permit Fee; <br /> <br />Type of Roof: ~ Total Fees: <br /> Rept. No. <br /> <br />I agree to build according zO the submitted pla~ and specifications, ~he law~ of ~e S=te of Or~, end:~Ordinances of Mar/on <br />Count. ~rmit expi~s if work not ~m~nc~ w/~in I~ da~. ~, ~ <br /> <br />VALIDATIONS:Y ......... <br />ZON~ SEPT~ANK ~ P PLAN~ <br /> , / <br /> <br /> R EMAR KS <br /> ~ l~atI a ~bile ~ - ~ ~ ~Zd t~e ~ use the e~it~nR Iv~ ~ble: <br /> <br />if net he ~i11 install aev ~y.~ to ser.,e r_he ~obile h~. <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works; 588-50:36 <br /> Other oermlts required bv this deot; Plumbine ~J <br /> <br /> <br />