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Fire ~orle <br /> <br />'~ype of Building <br /> <br />Class of Building <br /> <br /> DEPT. OF BUILDING INSPECTION <br /> Marion County <br /> <br />W. K. GRABER, BLDG. ADMINISTRATOR <br /> <br />APPLICATION FOR BUILDING <br /> <br /> Valuation S <br /> <br />PERMIT <br /> Septic Tank <br /> <br /> Total Fee s <br /> <br /> Erect <br /> Relocate <br />Application is made to Alter <br /> Demolish <br /> Repair <br /> <br />Address Rt. ].~ Box z/;~.,"-~ , Aumsville <br /> <br />Building Thi~ permit covers Exca',,aHon <br /> <br />(Waldo Hills Rd.) ~ mile~,e~B~ of Sha~,, <br /> <br />Lot Block Addition <br /> <br />Lot Size 20 acres <br /> <br />Size of Bldg, 12 x 52, one bedroom <br /> <br />Number of Stories <br />Occupancy or use <br /> <br />mobile home <br /> <br />Height in feet __ <br /> <br /> septic well <br />Sewage Disposal Water Supply <br /> <br />Value of entire work when completed, including labor and materials: <br /> <br /> Walter Wayne ~:atherly Box 201~ Silverton <br />Owner Address <br /> <br />Phone <br /> <br />581-8498 <br /> <br />Builder Address Phone <br /> <br />ArchiteCt Address Phone <br /> <br /> Di:SCRIIFflON OF WORK <br />This is the only dwelling on this 20 acre parcel. <br /> <br /> get truck~ in ~d gromd proved to ~ so~t ~d impo~s~D~e ~o ~ive on. Sep~iC"tax~ <br />ls Just now ~eing in~alled. 7/20/72 ~ Zone Change No .... <br />ONlY WOR~ D~SC~IBED ASOV~ INClUDeD iN PS~[[ VaHanc~ Case No. <br /> <br />I agree to build according to 0bove description, plans and specifications and the Building Code of Morion Count~. / <br /> .... pp,ic.. <br /> APPLICATION RECEIVED /~P~C TANK ,.~,~-~-~L~XAMINER <br /> Ape' ppr - <br /> <br />- . <br />OT ER PERMI~ REQUIRED BY THIS DEP~RTMENT: Heating Plumbing <br /> <br /> <br />