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MARION COUNTY ' <br />DEPT. OF BUILDING NSPECT ON <br /> <br />/~ppl. Reval; . U~:~, y <br /> <br /> Downtown Senator Building <br /> 220 High St,. N,E, 2nd Floor <br /> Salem, Oregon 97301 <br />R.~. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 - 588-5148 <br /> <br /> 8-10-78 <br />Date; <br /> <br /> w/wood stove <br /> ,,d~:liti<~n to existi, nq res. <br />Type of Permit; <br /> <br /> 1221{~ Iiatch Lane ~,~.,.' .,~umsville <br />Address;__ <br /> <br />Owner; O~m<:~s H. Jenkins Phone: 769-5751 <br /> <br />~ldr. & No.; ~. Phone:. , <br /> <br />Plans by: Phone: <br /> <br />.Tax Lot No; <br />sec. I? _Tw.shp. ,,ge./ <br /> <br />Address:. <br /> <br />Address;.., <br />Address: <br /> <br />Lot NO: BIk, No:__ <br />Water Supply: ',~!~: 11 <br /> <br />Sub dy. <br /> <br />Sewage Feas. <br />Disposal; s~p tic Study: <br /> xxx NO, <br />Area of Bldg: 1100 ~xx~.Stories: 2 <br /> <br /> nO Roof comp. stick <br />~asement: lype: <br /> <br />Heating <br />System: e~ocbric ~and WOOd stove <br /> <br />I~TU: .... <br /> <br /> 1/2 acres yes <br />LotSize__Corner? ., <br /> <br /> 20~000.00 <br /> <br />Valuation: __ $ <br />Permit Fee:, <br /> <br />State Surcharge: <br />Plans Chk. Fee: <br />Septic Permit Fee: <br />Total Fees: <br /> <br />Rcpt. No: <br /> <br />83,00 <br />3.32 <br /> <br /> 25.00 <br /> <br />111.32 <br /> <br />I agree to build according to the sgbrnitted plans and specifications, the law~ of the State of <br />Coon~/. Permit expires if worR r <br /> <br />SIGNATURE OF <br />VALIDATIONS: <br />ZONIN~G, ,. <br /> <br />REMARKS <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: 588-5036 <br /> <br />Other permits required by this dept: Plumbing ~ Electrlcal/,~' <br /> <br /> <br />