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?h .Y <br /> Appl.. R'cvd.. <br /> <br />By:: L<.~ <br />Date: ], 1/L/76 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> 3180 Center St., N.E. <br /> Salem. Oregon 97301 <br />R.H. WiTHROW, BLDG. ADMINISTRATOR <br />588-5147 - 588-5148 <br /> <br />Permit Number <br /> <br />Bidg,, Permit.__ <br /> <br />Location Permit; <br /> <br />Phone: 65~1-3376 ~ Address <br />Phone:~'~ ~r~'12'z- Address:, <br /> <br />City:: <br /> <br />20995 .... <br /> <br />Plans by:: i] d.':: Phone: Address;;. <br /> J <br /> lO' <br />Lot No: BIk, <br /> <br />Sub dy. Valuation:: $ 30~000, <br />Size of Lot; 290 X 150 Corner? Permit Fee:: 115.50 <br /> <br />Area of Bldg:: <br /> <br />1528 <br /> <br />Plans Chk. Fee: <br /> <br />No of Stories:: O~' State Surcharge; ~ /.~? <br /> <br />Basement; '~ Septic Permit Fee: <br /> <br />Type of Roof;; C >b . ..73'.--;'e Total Fees: '~ /.~-- .~.~ ¢/~' <br /> Rept,, No, <br /> <br />I agree ~o build accord/nE to the ~ubmlt~d plans and spec/fica~ons, ¢he la~ of the State of OreEon and the Ordinances of Mar~ ~ <br /> <br />County. Permit expires if work not commen~ed w/thin 120 days. <br />SIGNATURE OF APPLICANT.;~< ,~2,~/'._~.~_~,~..¢¢/ ~+~:3-~-~, <br /> <br />VALIDATIONS:: <br />ZONI N G('~"~ <br /> <br />By: V /' v . <br />Date:; <br /> <br /> REMARKS <br /> <br />PLANS <br />By:: /¢]',/~ <br /> <br />PLEASE NOTE: Driveway and sidewalk [n. spectlons are required by_Public wosk~, b88-8036~6.~_/'-''~'¢/' -- <br /> Other permits required b~-'ihis .d],p~ ~ <br /> <br /> <br />