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Appl. Revd: Thur eday <br />By: jkh <br /> <br />Date: September 15, 1977 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Downtown Senator Building <br /> 220 High St., N.E. 2nd Floor <br /> Salem. Oregon 97301 <br />R.i~. WITHROW, BLDG. ADMINISTRATOR <br />588-B147 -- 588-5148 <br /> <br />Type of Permit: <br /> <br />Address: <br /> <br />Owner; __ <br /> <br />BIdr. & No.: <br /> <br />Plans by: <br /> <br /> ~Q residence <br />Rte 3~ Box 767~ gurora <br /> <br />Checkai, John <br /> <br />Phone: <br /> <br />Bernstetter Cons~r£c <br /> <br />678-5414 <br /> <br /> 266-3-35 <br /> <br />Phone: ............ <br /> <br />Phone: <br /> <br />5 EFU <br /> <br />family and bedroom extensions <br /> <br />Use of Bldg.: <br /> <br />Lot No; 1 & 2 BIk, No: 1 Subdv. Grim Estates <br /> <br />Water Supply; S~bdivison well <br /> <br />Sewage Fees. <br />Disposal: septic-exist Study: <br /> <br /> No. <br />Area of 81dE; 720 sf Stories:. <br /> no Roof <br />Basement: Type: ,,,, composition <br />Heating forced air gas <br />System: <br /> <br />__Tax Lot No: <br /> <br />Address: <br /> <br />Address; <br /> <br />Sec, 24 Twnshp. ,4s Rge, iw <br /> <br />628 Dahlia Place, Canby OR <br /> <br /> Address: <br /> Fire 7one Occupancy ,' Type of Coast. <br /> Setbacks: ~ ~ ' <br /> <br /> 160 x 360Corner? ~ no <br /> Lot Size <br /> <br />Valuation: $20~000.00 <br /> 83.00 <br />Permit Fee: <br /> <br />State Surcharge: 3.32 <br />Plans Cl~k. Fee: <br /> <br />Septic Permit Fee: <br /> <br />BTU: Total Fees: 86.32 <br /> Rcpt. No: ~Z ZZ <br /> <br />I agree to build according to the submitted plans and specifications, the law~ of the Sm~e of Oregon and the Ord/nance~ of MarNn <br />County. Permit expires if work no~ommenced w/thi~20 da . <br /> <br />VALIDATIONS; ~ <br />ZO~ SEPTIC TANK PLANS <br />~ ~~ By; By: ~ <br />REMARKS <br /> <br />PLEASE NOTE; Driveway and sidewalk inspections are required by Public Works: 588-5036 <br /> permks required by this dept; Plumbing ~ Electrical ~ <br /> Other <br /> <br /> <br />