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~' TueSday <br />Appl. Revd; <br /> <br />By: <br /> <br />Date; ,,'~ugust 30,77 <br /> <br /> MARION COUNTY <br /> DEPT, OF BUILDING INSPECTION <br /> Downtown Senator Bu[Iding <br /> 220 High St., N.E. 2nd Floor <br /> Salem, Oregon 97301 <br />R.H. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 - 588-5148 <br /> <br />Date; <br /> <br />Type of Permit: addition to residence- family ultility, bath,,. ,Tax Lot No: <br /> <br /> Address; 9027 :,~i].ver ~,~],ls Hwy. AUmsville Sec. ~ Twnsi/p. ~ ~ Rge, <br /> <br />Owner; Dick i~iesterer Phone:,,36~-2510 Addrese: sam e <br /> <br />81dr, & No.;_ same Phone: Address: <br /> Rick Straw~ <br />Plans by: Phone: Address: <br />Map Page ~'o,~ne Zone Chg, Part, Cond, U~e Variance Fire Zone Occupancy <br /> <br />Lot No: ---__BIk. No: Sub dy. Lot Size 10 acres Corner? <br /> <br />Water Supply: _.~ell Valuation: <br />Sewage septic Fees. <br />Disposal: Study: Permit Fee:, <br /> No. <br />Area of 8Idg; ~ Stories; 1 State Surcharge: <br /> icludinc~ garage Roof <br />Basement: no __ Type; Comp Plans Chk. Fee: <br />Heating forced air oil <br />System: Septic Permit Fee: <br /> <br />$ 15 ~000.00 <br /> <br />65.50 <br /> <br /> 2.62 <br /> <br />BTU: Total Fees: 68.12 <br /> Rcpt, No: ..,~ ~'/~:~ <br />I agree to build according to the ~ubmitted plans and specifications, the laws of the State of Oregon and the Ordinance~ of Marion <br />Cou[;ty, Permit expires if work not commen£.~d within 120 days. <br /> <br />VALIDATIONS; <br />ZONIN~ SEPTIC TANK <br /> <br />o.,.: 7'7 // . te: <br /> <br />REMARKS <br /> <br />PLANS ! ! i / <br /> <br /> / <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: 588-5036 ~ ..,--? <br /> Other permits required by this dept: Plumbing ~:'~ectrical ~ '¢ ~ <br /> <br /> <br />