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Appl, Recd.; , <br /> <br /> Dot~:&e <br />By: __ <br /> <br />Date: 6/3/85 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building ¢¢~25 <br /> 220 High St., N.E, 2nd Floor <br /> Salem, Oregon 97301 <br /> <br /> 588-5147 -- 588-5148 <br />5:00 P.M ....................... CODE-A-Phone ...................... 8:00 A,M. <br /> <br />Permit No,: <br /> Elec. #1217 <br /> P~f-'PU <br /> <br />Date: 6-18-85 <br /> <br />mobile home replacement & sop%ir ~%tthori~tion notice -no field insp. required <br /> <br />Type of Permit; .... <br /> <br /> 20357 Hiqhway 99E Aurora <br />Addreas: <br /> <br /> A. L. Kokel & Linda ~ Faulkner <br />Owner:, Phone; 981-3,0,53 <br />81dr. & NO,: p rivabe pa~t¥ __Phone; <br /> <br /> Tax Lot No.:_ <br /> <br /> Sec.'....~=~Twnahp,: ,.f-~ _Rge.'.///~2 <br />~_Addre~s:. 18857 Hl~hw~ 99~ ~ubbard <br /> <br />~ddress: <br /> <br />Plans by: <br /> <br />use of Bldg.: mobile holds <br /> <br />Phone: ~ddress; <br /> <br />Lot No,:~ll(, NO.; <br /> <br />Sub, dy,:__. LotSize-, 2 3./2 Corner? ..... .... no <br /> <br />Area of Bldg, 2nd Base- <br />Main Fir,: __.Fir.: ., , merit; <br /> <br />Roof Type;. Truss/Stick; <br />Heating Wood <br />System; Stove; <br />Septic Tank New <br />Site Eval.: .Instat.; <br />Exist, No, <br />System: Gals.: <br /> <br />VALIDATIONS,.' w~'z~ <br /> <br />Cate: , , [/kJ t4v f ' a ~ Date: <br /> <br /> Total <br /> , Area; 12x58 Valuation: ..... <br /> Bldg. Permit 35.00 <br /> Height: Fee: (+ 5%) 1.75 <br />Water <br />Supply: Elect. Fee:_ 20,00 ___ <br /> <br />Mech, Fee: <br /> <br />Plumb, Fee: <br />State <br />Surcharge: (4%) 2.20 <br /> <br />Plans Chk. Fee: <br />Septic Tank <br />Permit Fee: __ 10o00 <br /> <br /> 5.00 <br /> <br />I agree to build according to the aubmitted plans and specifications, the lawa of the <br />State of Oregon and the Ordinances of Marion County. PERMIT EXPIRES IF WORK <br />NO T COMMENCED WI THIN 180 DA YS, I further expressly warrant that I comply with <br />the provisions of ORS 701.005 to 701,125 because: <br /> <br />) I am performing work on a property I own <br /> or occupy <br />) I ,~m a registered builder OR ( ) the <br />authorized repreaentative of a <br />registered builder <br /> <br />( ) The work will be performed <br /> by a registered builder <br />( ) Other (please specify) <br /> <br />DEQ Surcharge: <br /> <br />TOTAL FEE; <br />BLDG. <br />RECEIPT NO.: <br />Driveway <br />Permit Fee; <br />Site Plan <br />Review Fee: <br />Public Works <br />Receipt ~o,: <br /> <br />73.95 <br /> <br /> The old mobile home will be used for ~orage - all interior will be removed. <br />REMARKS; <br /> <br /> entirety and ertif[ at stated information is true and correc~ tO the best of my knowledge, <br /> <br />SIGNATURE OF APPLICANT: <br /> ~ inspection[are <br /> PLEASE NOTE: Driveway and sidewalk required by Public Work~: 588-5036 <br /> <br /> Other permits required by this dept.: Piumblng <br /> <br /> <br />