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<br /> MARION COUNTY
<br /> DEPT. OF BUiLDiNG INSPECTiONI .~3
<br /> Downtown Senator EluJJding v~
<br /> 220 High St., N,E, 2nd Floor ~
<br /> Salem, Oregon 97301
<br />R,J-t. WITHROW, BLDG, ADMINISTRATOR
<br />588-$147 - 588-5148
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<br /> Type of Pe,rnit: £iise Svalu,",'cir,zt & ,~intlo Famil3~ i~esidence ., Tax Lot No: /~-- ~ ~ /
<br /> % "~ '~ ./, , '1' / '~ ~'/ ~' o ,
<br /> ~ :' '~ , ' "' ' ' - ' SeC, ~Ywnshp .... Rge. ~
<br /> ])onLl{el].cyb~ Attn~ne:/ / 873-~359 t10 ~,~claine, ,Silverton
<br />Owner: ,.,,t.r ~[onev
<br /> ~ ...... Phone'._ Address;
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<br />Bldr. & No,:__,unkl%°wn Phone: ' Address:.
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<br />Plans by; Jurlz .~J -]- d Phone: 9~1-9~'~ Address; I.fOOd!;U:L'D. :
<br /> i-,,n,, (
<br />U~ of 8~.: ~in Req, Fro.t ~ Side~ Rear
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<br />Lot No: _ = __BIk, No; Sub dy,
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<br />Water Supply: ~ .~ ~'~]-
<br />Sewage Fees.
<br />Disposal: .,,,, /;ou'[;ic., Study: none
<br /> No,
<br />Area of SIdg: j~,._~4 ;;¢'! ft ~Storie~: ~
<br /> Roof
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<br /> Lot S~za ~Corner.
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<br />Valuation: $=
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<br />State Surcharge:
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<br />Heating
<br />System;
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<br />BTU:
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<br />Type: C_ ,om].~ - s%ick
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<br />Plans Chk. Fee:~
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<br />Septic Permit Fee: ~ ~ ~= r.~ ~ .
<br /> · -, . , '.,
<br />Total Fees: _, '~:~'~-- . ' ,, . J--" ',
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<br />sept. No:D_. -~ ..... )~%~",~ ~ '. ~.
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<br />I a£ree to build accord/nE to the submitted plans and speclficationa, the laws of the State of~O.~eEon and the O~/nance~ of Marion
<br />Cogn~, Permit exp/re~ if work nSt~ommen¢e~ W/thin I~
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<br />VALIDATIONS;
<br />ZONING ~
<br /> _].__ ~,
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<br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works; 585-5036
<br />Other permits required by this dept: Plumbing [~ Electrical [~
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