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Appl. Revd: .... Fr~d~r <br />By: Or <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 /> S~-5147 - <br />5:00 P.M,- ........... CODE-A-Phone 688-5373 ........... S:00 A.M. <br /> <br />PerreJt No, ~, ~ '~ (~ <br /> <br />Type of Permit: ,, ~I~1~ <br /> <br />Address; 8723 OO:L~ Olub Rd. SS <br /> Steve ~eele~re Center Incorporated <br />Owner: Les ~hwab Dealershi~hone; 769-3~A6 <br /> <br />,Tax Lot No: <br />Sec. ,Twnshp.., <br />Address:_ <br /> <br />flge. <br /> <br />81dr.& No.; to be assigned <br /> <br />Phone:.,, <br /> <br />Address: <br /> <br />Plans by: Phone: <br />Me,~ 2~one Zone Chg. <br />~et~il ., Oc¢, Ld: <br /> <br /> Address; <br />J Varieclde I FlreJ~one I Ocdupatlcy Type of Const. <br /> Min Re(I. Front Sides Rear-- <br /> <br />Lot No; .Blk, No: . Sub dy, <br /> <br />Water Supply: <br /> <br />Sewage <br />Disposal: <br /> <br />Area of Bldg; [ X 2~ , <br /> <br />Basement: <br /> <br />Heatina <br />System; <br /> <br />BTU: <br /> <br />Site <br />Evah <br />No. <br />Stories: <br />Roof <br />Type: <br /> <br /> Lot Size <br />Valuation:_ $ l~O0~OO <br />Permit Fee: 2;~,~0 <br />State Surcharge: .... <br />Plan~ Chk. Fee: <br /> <br />Corner? <br /> <br />Septic Permit Fee; <br /> <br />Total Fees: <br /> <br />Rcpt. No; <br /> <br />VALIDATIONS: I~ <br />ZONING I~)~ SEPTIC TANK PLANS <br /> <br />I agree to build aCcOrd/nE to the submltt~d plans and spec/f/cations, the laws of the State of Or,Ion and ~e Or/dnences of Marion <br />County. Permit expires/f ~rk not ~ommenced within 120 daya. I furht~ expressly warrant ~at / comply w/th the provisions s~RS; :: <br />701.~5 to 701.12~ because: <br />( ) /amar~i$teredbuilderor( ) the~u~orizedr~re$znt~tiveofar~ister~builder <br />( ) The ~rk WEI be pe~orm~ by ~ r~is~r~ buEder ' ::::':: ;':~:: <br />( ) I am p~forming work on a proper~ I own or occupy <br />( ) Other (please ~/fy) <br /> <br /> The height of the building is 18' approxi~te~. The ~gn is ~o be p~6e~::::on to~ <br /> ~ ll be two feet high ~d possib~ two feet above the ~of line. <br /> <br />I have read application in certify <br /> <br />SIGNATURE OF APPLICANT:, <br /> PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: <br /> Other permits required by this dept: Plumbing [] Electrical <br /> <br /> <br />