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Appl Revd;; <br /> <br />By;; <br /> <br />D~-ZR <br /> <br />Type of Permit; <br /> <br />MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br />Downtown Senator Building <br />2')0 High St,, N.E. 2nd Floor Permit No. <br />Selem~Ore,gon 97301 <br /> <br /> Tax Lot NO:: <br /> <br />Address: 645 Oak St, <br /> <br />Sec. Twnshp,, Rge, <br /> <br />Owner:: John Alda~ <br /> <br />Phone; 749-2422 Address:: ~4~ ~ek St., Anmsville <br /> <br />Bldr,, & No ' same <br /> <br />Phone:: Address: .... <br /> <br />Plans by;; <br /> <br />Phone: Address;; <br /> <br />Enmity dewelin~ <br /> <br />Lot No;; 1 fl <br /> <br />Water Supply:: <br /> <br />Sewage <br />Disposal:: <br /> <br />Area of Bldg; <br /> <br />Basement; <br /> <br />Heating <br />System;; <br /> <br /> BIk,,No: <br /> <br /> city <br />city <br /> <br />2 <br /> <br />Sub dy, Wil~woo~ %I <br /> <br /> Lot Size ____Corner? <br />Valuation:: _ $ 1400.00 <br /> <br />Fens, <br />Study; Permit Fee;; ].~, ~ <br />No,, COA 5% .71 <br />Stories: .... State Surcharge:: ,60 <br />Roof <br />Type;; Plans Chk. Fee:: <br /> <br />Septic Permit Fee:; <br /> <br />BTU: <br /> <br />I agree to build according to the submitted plans and specifications, <br /> <br />SIGNATURE OF APPLICANT: ~ ~, <br /> <br />ZONING ~ SEPTIC TANK <br />Date Date <br /> <br />REMARKS <br /> <br />Total Fees: ........ !. 5 · 56 <br />Rcpt, No;; 'tI~/'~/F -- /~d, ~-- ~.--~,d~' 7~'// <br /> <br /> the la~ of the State of Ore~on and the Ordinances of Marion <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works:: 588-5036 <br />Other permits required by this dept: Plumbing [] Electrical L~J ,b~? ',~ <br /> <br /> <br />