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Appl, Revd;; ~C)NT)~ <br /> <br />By:: KN- <br />Date:: 5/2/77 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Downtown Senator Building <br /> 220 High St,,, N,,E. 2nd Floor <br /> Sa[em, Oregon 97301 <br />R.~I. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 - 588-5148 <br /> <br />Type of Permit:: UTILITY SMD <br /> <br />Address: RT- I BOX 249 A AUR0t~, <br /> <br />Owner: G~ORGE ]~. [~O,.~,.S[¢L/~' Phone: <br />Bldr, & No.; ~ Phone:: <br />Plans by Phone: <br /> <br /> SINGLE F~ILY ~S. <br /> <br />Address:: <br />Address:: <br /> <br />Tax Lot No;: <br /> <br />Sec,,~-~ Two,bp .F~ Rge <br /> <br />BEAVERTON 97005 <br /> <br /> Address; <br /> <br />Setback* ~ <br /> <br />Lot No:: BIk. No;; Sub dy <br /> <br />Lot Size I AC~ Corner7 <br /> <br />Water Supply: ~..~ Valuation: <br />Sewage Feas,, <br />Disposal:: S~TIC __ Study. Permit Fee: <br /> No. <br />Area of Bldg: 10 X 10 Stories;; o_'~e- State Surcharge: <br /> <br /> Roof <br />Basement;: mO -- Type:: CO[v~'. STICK Plans Chk. Fee;; <br />Heating <br />System:: Septic Permit Fee:: <br /> <br />,$ /fC~A¢ ~oo~oo <br /> <br /> 5.GG <br /> <br /> .15 <br /> <br />BTU:: <br /> <br />Total Fees: 5 -,'~5, <br />R cpt,, No;; _ ¢'-~/ <br /> <br />I agree to build according to the aubmitted~ao$ and specifzcatzons, the law~ of the State of Oregon and the Ordioance$ of Marion <br />Cog,,ty, Permit ex piYes if work no.~d ~~ <br />SIGNATURE ~F APPLICANT~'/~_~/~¢~ <br />VALIDATIONS:: ~ ¢ <br />ZONING ~ SEPTIC TANK PLANS <br /> <br />REMARKS <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works:: 588-5036 <br />Other permits required by this dept:: Plumbing [] Electrical ~- <br /> <br /> <br />