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MARION COUNTY <br /> DEPT. OF BUILDING iNSPECTION <br /> ~ Senator Building # 225 <br />Appl. Recd': 220 High St., N,E. 2nd Floor Permit No. ~4- ? c)D ~ <br /> <br />By: D~$e ~lem, Oregon 97301 <br /> By: P=~ty <br /> ~-5147 - ~88-~148 <br />Date: 12/19/84 5:00 P,M,- ........... CODE-A-Phone 588-5373 ........... 8:00 A.M. Date: 12-27-84 <br /> <br />Drainfield R~pair <br /> <br />Type of Permit: <br />Address: 10364 Porter Road, SE Aumsville <br /> <br />Owner; Ken[ Galloway_ Phone: 749-1899 · Address: <br /> <br />Bldr, & Nm; unknown Phone: ,,. Address: <br /> <br />Plans by: Phone: Address: <br />Map Page <br /> <br />Tax Lot No: <br /> <br />Sec, 6 Twnshp. <br /> <br />9 Rye, lW <br /> <br />Lot No,: Blk. No,: Sub dy. <br />Area of Bldg. 2nd Base- Total <br />Main Fh.: Fir.: ment: Area: <br /> <br />Roof Type: Truss/Stick: <br />Heating Wood Wafer <br />System: Stove~ Supply:. <br />Septic Tank New <br />Site Evah Instal · <br />Exist, No. <br /> <br />well <br /> <br />VALIDATIONS: <br />Zoning; Mechanical: <br />Date; ........./) J Date: ............. <br />Oote .... I 7 Date, <br /> <br />I agree to build according to the submitted plans and specifications, the laws of the State <br />of Oregon and the Ordinances of Morion County. Permit expires Jf work not commenced <br />within 180 days. I further expressly warrant that I comply with fha provisions of ORS <br />701 ,gO5 to 701.125 because; <br />( ) I am performing work on a property I own or occupy <br />( ) I am a registered builder OR ( ) the authorized <br /> representative of a registered builder <br /> <br />Lot Size~Corner? no <br /> <br />Valuation: <br />Bldg, Permit <br />Fee: ( + 5%) <br /> <br />Elect. Fee: <br /> <br />Mech. Fee:. <br /> <br />Plumb. Fee: <br />State <br />Surcharge: <br /> <br /> Plans Chk, Fee: <br /> Septic Tank <br /> Permit Fee, 3 5.00 <br /> <br /> DEQ Surchorge:~ <br /> <br /> TOTAL FEE: 35.00 <br /> RECEIPT NO.: ~ ~:~ ~/ <br />The work will be performed by a registered buJlder <br />Other (please specify) <br /> <br />REMARKS; drainfield is rollins , seepage in,y%rd <br /> <br />$11 haveg NATre~duREth/soFapplicati°nApP L ICAN"[./n/ts ..~r~ent/ret~ and~.~~~~~information is true and correct to the best of my knowledge, <br /> PLEASE NOTE: ~riveway and sidewalk inspections are requi~orks; 588-5036 <br /> Other oermits required by this dept: Plumbing [] Electrical [] --r~ <br /> <br /> <br />