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Date: <br /> <br />Appl. R'cvd, <br /> <br />5113/76 <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 />Bids, Permit: <br /> <br />Addition to residence <br /> <br /> 8763 Shaw Square Rdo <br />Address: ....... <br /> <br />Aumsvil te <br /> <br />Location Permit: <br /> <br /> ,)wain ~4~ James $62-2907 <br />Owner: Phone: Address:, ,, <br /> <br />Bldr. & No.: Sel£ Phone: Address: <br /> <br />__ City; <br /> <br />Occ~_ancy_ I Type.~/~,of Const, <br /> <br />J .......Sider ._ Rear __ <br /> <br />.Plans by: Phone: Address; <br /> Map Page Zone" 7one Chg. Part. Cond. Use ' VarianCe Fire Zone <br /> _ <br /> _ <br /> <br /> Living room addition to residence Setbacks: <br /> <br /> Sewage Fees. <br />Lot No'. BIk. No: Water Supply:, Disposal;_ Study? <br /> <br />Sub dy. V~luation; $ '~ <br /> <br />Size of Lot: 4.36 acres Corner?__ Permit Fee: 27.00 <br /> <br />Area of Bids; <br /> <br />No, of Stories:_ <br /> <br />16 ~ 20 <br /> <br />Plans Chk. Fee: __ <br />State Surcharge; .... <br /> <br />o81 <br /> <br />Basement: Septic Permit Fee; <br /> <br /> 27.81 <br />Type of Roof:. Comp. To:a% Fees: <br /> Rept. No. ,W%~?/'~L ...... <br /> <br />I agree to build according to the eubmitted plane and epeclflcat/one, the law~ of the State of Oregon and the Ordinances of Marion <br />County, Permit expires if work not commenced with/l? 120 da~ys. <br /> <br />ZONINg// SE~IC TAN~ -- PLANS~ <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 [] <br /> <br /> <br />