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MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building # '225 <br />AppL Revd; Friday ,, 220 High St., N.E. 2nd Floor <br /> dm Salem, Oregon 97301 <br />By: ~~-- 588.5147 - 588-5148 <br /> 7 ,1~/ q~/ZTL.-r(5:OO P. M ............ COD~-A-Phone 588-5373 ........... <br />Date: <br /> <br /> ~ - Shop Alignment Center <br />Type of Permit: . - Tax Lot No: <br /> <br />Address' 8723 Golf Club Road~ $. E. Auto,villa Sec. $~... <br /> <br />Owner: Steve [~l~eeler Tire Cen~l~h~one: 7693446 Address: <br /> Kent [~azelwood ~Y ~,~"~,~-5~ <br />81dr. & No.;(~'~'')& ~{ Comet- Phone: 769~ Address: <br /> ~A014~32 <br /> <br />Twnshp. 8 ...Rge. <br /> <br />F.O.Box 326 Stayton 97383 <br /> <br />Plans by: same Phone: Address; <br />U~ of Bldg.: No Bdrm,, Mi, R~. Front , ~des ~~ar <br /> <br />Lot No: _Blk. No: Sub dy. Lot Size .... Corne~7 <br /> <br />Water Supply: Valuation: __ $ 32,000. <br />Sewage Site <br />Disposal: . Evah Permit Fee: 133-00 <br /> 2~)[3 Sq ft, <br /> 30 x 75 No, <br />Area of Bldg;18~ Stories:. 1 State Surcharge: 5.32 <br /> f4" high Roof 86.45 <br />Basement: Type: comp t.~'uss Plans Chk. Fee: <br />Heating <br />System: E~,gc. Wnl% he~ter.. Septic Permit Fee: <br /> <br /> Total Fees: <br /> <br /> R cpi. Ho: <br /> <br />BTU: 224.77 <br /> <br />VALIDATIONS: <br />ZONING /~I SEPTIC TANK PLANS ,~~ <br />g~ ...... sy,. By: /~i~,~ ---~/ : ' .... ]. <br /> <br />County. Permit explre~ if work ~ot commer~ced w/thM ~20 da?~. I furhter ex/~e$$/y warr~t th~'/ comp/y wi~h the prov~sions of ORS <br />701.005 tO 701. 125 because: :.ii <br /> <br /> I am ? r~i~tered builder or ( ) the author/zed rcpre~ntative of a registered bu//der <br /> The work will be performed by a registered builder <br /> / am performin~ work on a proper~y I own or occupy <br /> Other (~lea~e ~/fy) <br /> <br />REMARKS; <br /> <br />I have read this application in its nti y d ertify that the stated / formation is true and correct to the. bes~ Of my kl~owl d e <br /> <br />S GNATURE OF APPL CA 'f ~ .... <br /> PLEASE NOTl~:[~J~-~?weway and sldewal~ inspe~ions are raqulred by Public Work~: :>'~'~:~036 <br /> Other permits required by this dept; Plumbing ~ Electrical ~ <br /> <br /> <br />