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Apph F~,,~vd: Monday <br />By; __ dm <br /> <br />0ate: 7/28/80 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building ~ 225 <br /> 220 High St., N.E. 2nd Floor <br /> Salem, Oregon 97301 <br />R.H. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 - 588-5148 <br />5:00 P,M.- ........... CODE-A-Phone 588-5373 ........... 8:00 A.M, <br /> <br />By: ~ <br /> <br />Type of Permit; Single Family Residence Tax Lot No; <br /> <br /> Twnshp~ <br />Address, ~'7~ we~ sta~e,~ ~ead. ^u~s',.~_zle ~ ~ ~ <br /> <br />Owner: merl¢ Beach Phone: 749-2657 Address: same <br /> <br />Bldr, & No,; s~ Phone: Address: <br /> <br />Plans by: self Phone: Address: <br /> Map,~/Page ,~/~.~[ Zone Chg. Pert. ' Cond. Use I Variance I I=JreZone Occupancy j Type of Const. <br /> <br />Use of Bldg.: No Bdrmm ~in Req. Front I Sides ~_,ear... <br /> Residence o, o~. ,_d~ ~ ..~.~,~s: ~j /0~ >'~0' <br /> <br />Lot NO: BIk, No; Sub dv, Lot Size ~Corner7 <br /> <br />Water Supply; well Valuation; $ 37~$00o <br />Sewage existing Site <br />Disposal: septic , 7,5Q I~lt Permit Fee: 151o00 <br /> <br /> No, <br />Area of Bids: 1260 sq f%. Stories: 1 State Surcharge; <br /> <br /> Roof <br />Basement: no Type; sh~ce Tr~./~+~ ~'k Plans C~k. Fee; <br /> <br />System: S P : <br /> <br />BTU: ~ Total Fees: <br /> <br /> 6°04 <br /> <br />~/~ 25.00 ~/~ <br />......... <br /> ~7~ 257°54 <br /> <br />ZONING ~'Q~ , SEPTIC T/~I~'~L q [ PLANS .~--~ <br />,,,,,, .,: :~,., I~ ,~: ~'~ .~: ~ ,,, <br /> <br />I agree to build according to the $¢bmitted plan~ and sp~/fications, the laws of the State of Orego~ and the Orldnance~ of Marion <br />County. Permit expires if work not commenc~ within 120 days, I furhter expressly warrant that I comply with the prow~ions of ORS <br />701.~5 to 701.125 b~ause: <br />( ) lamaregister~bu//deror( ) theauthorizedrepresen~atlveofar~/ster~bu/Ider <br />(~ The work will be pe~ormed by a r~i~tered buEder <br />( J I ~m performing work on a property , own or occupy~1~ ~ ~' <br /> <br />REMARKS: EXISTING RESIDENCE BIIRNT BflWN n~l V n~r pr~TnrNcE ~.LL0~E9 0F~ PROPERTY. <br /> <br />I have read this application in its entirety and certify that the stated information ia true and correct to the beat of my k%wledge. <br /> <br /> PLEASE NOTE: Driveway and sidewalk inspections are required by Public ~orks: 588-5036 [~,~ ~ <br /> Other permits required by this dept: lumbing ~ctrical ~ - <br /> <br /> <br />