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~ ~ppL R'cvd, D~PT, OF BUILDING INSPECTIO~ Permit ~umbe~ <br /> <br /> ~ 3180 Center St., N.E. ~ ~ <br />8Y~ %mr' Salem, Oregon 97301 By: <br /> R.H. WITHROW, BLDG. ADMINISTRATOR <br /> <br />Bldg. Permit: to erect a storace shed <br /> <br />Location Permit: <br /> <br />Address: Rt. 1 'Box 253 Aurora <br /> <br />City: <br /> <br />Owner; Ted Zoqq <br /> <br />BIdr. & No,; same <br /> <br /> Phone: 67~."1~8 Address: same <br /> Phone: Address: <br />Plans by; Cre~e~t Co.st. Phone: Address: <br /> <br /> .... <br /> storage bui ldi~g Setbacks: <br /> <br /> Sewage Fees. <br />Lot No: BIk. No; Water Supply:. Disposal: Study"? __ <br /> <br />Sub dy. Valuation; ~; 4500,00 <br />Size of Lot:. 2~ acres __Corner? Permit Fee: 30.50 <br />Area of B dB:: 30 x 40 PlansChk. Fee: <br /> <br /> .92¢ <br />No. of Stories: one State Surcharge: <br /> <br />Basement: no Septic Permit Fee: <br /> <br /> : l'.: ~,;ir;a,~ $31.42~/ <br />Type of Roof: $~e~ t Total Fees: <br /> Rept. No, [-' ~ ..... <br /> <br />I a~ree to build accordln9 to the ~bmit~d plan~ and ~peeifieation% the la~ of the Sta~ of Ore~on and t~e Ordinances of Marion <br /> <br />SIGNATUR~ OF APPLICANT: <br />VALIDATIONS: ~) <br />ZONI~~ SEPTIC TANK <br /> <br />'ho erect a storaqe building <br /> <br />REMARKS <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works; Other permits required by this dept: Plumbing [] <br /> <br /> <br />