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MARION COUNTY <br /> DEPT, OF BUILDING INSPECTION <br /> Senator Building # 225 <br /> 220 High St,, N.E, 2nd Floor <br /> Salem, Oregon 97301 <br /> R.H. WITHROW, BLDG. ADMINISTRATOR <br /> 588-5147 - 588-5148 <br />5:00 P,M,- ........... CODE-A-Phone 588-5373 ........... 8:00 <br /> <br />By: <br /> <br /> Lot <br /> <br />i;'I~YD I,,:,,~AR~ Phone: 981 8091 8848 ' <br /> Address;, : ~ · ' ' ,,- :-,~,:,,, -~.,' <br /> <br />Bldr. & No.: <br /> <br />Phone: Address:_ 97032 <br /> <br />Plans by: <br /> <br />Use of Bldg.: <br />Lot No: <br /> <br />phone: Address: <br /> <br /> Zone Zone Chg, Part. Cond, Use Variance <br /> <br /> No Bdrm=, Min Req, <br />~"~0 !'{OM'",' or Oeo, td; 2 " Setbacks: <br /> <br /> .BIk. NO: Sub dy. <br /> <br />Front i Sides Rear <br /> <br /> Lot Size 2.5 ~i~¢~e~orner? no , <br /> <br />Water Supply: <br /> <br />Sewage <br />Disposal: <br /> <br />Area of 81dg; <br />Basement: <br /> <br /> Valuation: <br /> <br /> Site <br /> S!{;. 'TIC Evah Permit Fee: <br /> No. <br />:]_4 × 70 Stories:.,., Z State Surcharge: <br /> Roof <br /> Type: Plans Chk, Fee: <br /> <br />Heating <br />System: _,, e~ ect~.! e <br /> <br />BTU:, ,, <br /> <br />Septic Permit Fee: <br />Total Fees; <br /> <br />196.40 <br /> <br />I agree tO build according to the submitted plans and specifications, the laws of the State of Oregon and the OrldnancesofMarion <br />County. Permit expires if work not commenced within 120 day~, I furhrer expresaly warrant that I cot;1/~/y with the provisions of ORS <br />701. ~ to 701.12~ because; <br />( ) I am a registered builder or ( ) fh¢ authoriz~ representative of a r~i~ter~ build¢r <br />( I The ~rk will be pe~orm~ by a r~istered builder <br />( ) /~mperform/~¢~rkongpr¢perrylownoroccupy <br />f ) Other (please <br /> <br />REMARKS: 'l'he mobile home, on this pro~e~y was,, just removed last week. <br /> <br />I /)ave read this application in its entirety and certify that the stated information /$ [~ and correct to the best of my knowledge. <br /> <br /> PLEAS. NO..~r:~a~sidewa,; inspections are required by Public Work.: 588-5036 ~7 <br /> Other permits required by this dept: Plumbing ~ Electrical ~ ~ ~ '7 <br /> <br /> <br />