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Appl. Reed: <br />~y: Dottie <br />Date: 1/~/84 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building # 225 <br /> 220 High St., N.E. 2nd Floor Permit No. <br /> Salem, Oregon 97301 <br /> By: <br /> 588-5147 - 588-5148 <br />5:00 P.M,- ........... CODE-A-Phone 588-5373 ........... 8:00 A.M. <br /> Date: <br /> <br /> one furnace & 2 Suspended heaters <br />Type of Permit: <br /> <br />Address:, ~ ~.~ Roadt No. ~:ast AurOI'a 97002 <br /> <br /> North Marion High School <br />Owner: <br /> <br />$1dr, & No.: Home Co~Eort inc. <br /> <br />Phone: Address: <br />Phone: X 623-~109 Address: <br /> Address: <br /> <br />Plans by: Phone: <br />Map Page I Zene Zone Chg. Part. Canal. Um <br /> <br />Tax Lot No: <br /> <br />Sec. Twnshp. , Rge, <br /> <br />12795 We~k View Drive <br />Dali,s <br /> <br />Lot Nc, · Slk. <br />Area of Bldg, 2nd <br />Main Rt.: ...... Fir4__ <br /> <br />Roof Type: Truss/Stick: <br />Heating Wood <br />System: .... Stave:L <br />Septic Tank New <br />Site Eval, , Instal,, <br />Exist. No, <br />System: '~ , Gals.~ <br /> <br />,,_Sub dy. __ Lot Size .... Cor,~r?___ <br />Base- Total <br />menh__ Area: Valuation: , <br /> Bldg. Permit <br /> . Fee: ( + 5%) <br /> <br />Water <br />Supply: Elect. Fee:. <br /> <br />Mech, Fee: .... <br /> <br />28.00 <br /> <br /> Plumb. Fee. <br /> State 1,12 <br />VALIDATIONS: Surcharge~ <br />Zoning; Mechonlcah <br />Date: Dote: , Plans Chk. Fee: ..... <br />Septic Tank: Plans: Septic Tank <br />Date~ Dote! Permit Fee: ....... <br /> <br />I agree to build according to the submitted plans and specifications, the laws of the State DEQ Surcharge: , <br />of Oregon and the Ordinances of Marion County. Permit expires if work not commenced <br /> 29.12 <br />within 180 days, I further expressly warrant that I comply with the provisions of ORS TOTAL FEE:_ <br />701.005 to 70L125 becouse~ ~'~'~3 7 <br />( ) I am performing work on a property I own or occupy RECEIPT NO., <br />( ) I am a registered builder OR ( ) the authorized ( ) The work will be performed by a registered builder <br /> representative of a registered builder ( ) Other (please specify) <br /> <br />REMARKS; ...... <br /> <br />SIGNATURE OF APP ICAN~. ~//~//have reed th/$ apphbat/on /n /ts anUS'eLy and cart~fy that the Stat~n~/~ true and COr~ect. __~to the best of my' know/edge, <br />PLEASE .OTEi~D~ve~a¥ and~si~ewalk i~/nspectio-n~//.~;quFby-Public Works: 588-5036 <br />Other permits required by this de~/Plumr~ing [] Electrical [] <br /> <br /> <br />