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~ppl. Reid: <br /> <br />By: <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 /> <br /> 588-6147 - 588-5148 <br />5:00 P.M,- ........... cODE-A-Phone 688-5373 ........... 8:00 A.M. <br /> <br />Permit No. ~ <br /> <br />Type of Permit: <br /> <br />Owner: J, , L':'~ ;I, Ui ;;[ ;};~'0 ?,: Phone: <br />61dr. & No.: z-"i'd Phone: <br /> <br /> Sec. ~' Twnshp. CDRge. <br /> <br />Address: $,:d~ 9?j~B _,~ ,~ *i~ <br /> <br />..... Address: <br /> <br />Plans by; Phone: <br />U~e of Bldg.: No Bdrm., <br /> <br /> Address: <br /> <br />I <br />Min Req. Fl'ant j Sides Rear <br /> <br />Lot No,: ..... BIk, No,;. _Sub dv, <br />Area of Bldg, 2nd Base- <br />Main Fir,: Fir,: ..... menh <br /> <br />Roof Type: <br />Heating <br />System:· <br />Septic Tank <br />Site Evoh ........... <br />Exist. <br />System- <br /> <br />O' Truss/Stick, <br /> <br />Wood <br />Stove: <br /> <br />New <br />Instal, <br /> <br /> Lot Size-2~[~L~'- I (l~orner? .... <br /> Total <br /> Area: ~77 r:;~' '7~, Valuation: '~(;~?!~ 0 <br /> I Z' ~i~ Bldg, Permit <br />S~T~TC~{ Fee: (~) ? . ~",['~ <br />Water <br />Supply:. Elect, Fee ...... <br /> <br />Ne, <br />Gals,: <br /> <br />VALIDATIONS: <br />Zoning~ ,,~ ~ Mechanicah <br /> ate:. 'Z ate:_ <br />Septic Tank: <br />Date:__ <br /> <br />Mech. Fee: <br /> <br />Plumb. Fee:. <br />State <br />Surcharge:.__ <br /> <br />Plans Chk. Fee:. jij!Z .'?0 <br />Septic Tank <br />Permit Fee: <br /> <br />I agree to build according to the submitted plans and specifications, the laws of the State DEQ Surcharge: <br />of Oregon and the Ordinances of Marion County, Permit expires if work not commenced <br />within 180 days, I further expressly warrant that I comply with the provisions of ORS TOTAL FEE- ' ,' ° ~- ~-- <br />701,005 to 70 I. 125 because~ <br />( ) I om performing work on a property I own or occupy RECEIPT NO.: <br />( ) I am a registered builder OR ( ) the authorized ( ) The work will be performed by a registered builder <br /> representative of a registered builder ( ) Other (please specify) <br /> <br />PLEASE NoT~;~rlveway and sidewalk '~pections are required by Public Works: 588-5036 <br />Other permits required by this dept: Plumbing [] Electrical [] <br /> <br /> <br />