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Appl. Recd.: City of Aumsville By: B.J. Date: MARION COUNTY DEPT. OF BUILDING INSPECTION senator Building #225 220 High St., N.E. 2nd FJoor Salem, Oregon 97301 588-5147 -- 588-5148 6-19-86 5:00 P.M ....................... CODE-A-Phone ...................... 8:00 A,M, Permit No.:_ 562 By: Dott'i e Date: 6/27/86 Type of Permit: Construction of Shed Address:_ 810 7th Street Aamsville, Oregon Owner; Peter Gauthier Bldr,&No,: Same as a bore .Phone' 749-2932__ Address; 373-2185 work Karen .Phone' Address; .Tax Lot No.: Sec- __Twnshp,: Rge,; Same as above Plans by: Same as above .Phone' Address: MapPage 1 Zone ZoneOl~ange Part, I Cond. Use Variance/Adj. [ FT/¢D Occupancy Type of Const. StO~a~e or Ccc. Ld.: Setbacks: 5~ ~, Lot NO.:,,__ BIk, NO.: Area of Bldg, 2nd Main Fir.: Roof Type: Heating System: Septic Tank Site Eval.: Exist, System: Sub, dy,: .Lot Size: 81x75 Base- Total .__merit: ..... Area: ~.%?.~--~q- ~t. ...... Tr uss/Stic k:~:kT~ Height:. Wood Water Stove: __.Supply: New ____InstaL; No. ...... Gals,; VALIDATIONS: Zoning: Mechanical: Date: Date: Septic Tank: Date: Plans: ~_ ~"~ j/,_ ~/2-¢.-..~ Dat~ ..... I agree to build according to the aubmltted plans and specifications, the laws of the State of Oregon and the Ordinances of Marion County. PERMIT EXPIRES IF WORK NO T COMMENCED WITHIN 180 DA YS. I further expressly warrant that I comply with the provisions of ORS 701,005 tO 701.125 because: I am performing work on a property I own or occupy I am a registered builder OR ( ) the authorized repreeentative of a registered builder ( ) The work will be performed by a registered builder ( ) Other (please specify) ~_Corner? yes Valuation: 1 r, 19:0.0 Bldg. Permit 26. $0 Fee: (+ 5%) ........ 1 . ~q Fleet chg. 3.84 Elect, Fee: Meoh, Fee: Plumb, Fee: State Surcharge: (4%)1.:06 Plans Chk, Fee: Septic Tank Permit Fee: _ DEQ Surcharge: TOTAL FEE: 49.96 BLDG, RECEIPT NO,: ~9n99 Driveway Permit Fee: Site Plan Review Fee:_ Public Works Receipt NO.: REMARKS: I have read this application in its entiret, y..a~d.~.ertify thaOthe s(¢t. cd information ia true and correct to the best of my knowledge. S G N AT U R E O F App LiCAN T, /_~,~=2_~'~'~""~ ~¢~----'~ PLEA ' ~"7 .~' .. -- - ~/ ~ SE NOTE: Driveway and sidewalk inspection are required by Public Works: 588-5036 Other permits required by this clapt,: Plumbing n Electrical r'l Mechanical []