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MARION COUNTY <br /> DEPT, OF BUILDING INSPECTION <br /> 3180 Canter St.r N.E. <br /> Salem. Oregon 97301 <br />R.H. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 - ~588-5148 <br /> <br /> res ide~ce <br />Bldg. Permit: ,, . <br /> <br />Address:_,, <br /> <br /> Location Permit: __ <br />Leve~man I~d. SE <br /> <br /> Melvin Nelson <br />Owner: Phone; ...... Address; <br /> <br /> Donald Lounsbury 41:11805 743-2070 ~/ <br />BIdr. & No.:~ ~ Phone; <br /> Address: <br /> <br />Permit Number <br /> <br />City: <br /> <br />10473 Summit Lo~%p ~:Ee Turner <br /> <br /> Plans by: Phone:__ __ __ Address: <br /> Cond. Fire Zone Type of ~o~, <br /> <br /> Use of Bidg.: Min Req. Front ( Sides '[ Rear <br /> ingle <br /> residence <br /> <br />~ ~ /~ sew~ ~ ,~e~ .... <br /> ~ot N~' BIk. No: Water Supply:~ we~l ~ Disposal:.SeP~ic ~a~tudy? ~ <br /> ~oss~,bly Carl <br /> <br />Sub dy. ~ , ~~ Valuation; __~ 17,000,00 Spu:geon <br /> <br /> 72~50 <br /> Permit Fee: <br /> <br />Size o~ Lot: irregular <br /> <br />Area o'f BId~: 1000 sq ft Plans Chk. Fee; <br /> 1 2,18 <br />No. of Stories: State Surcharge:~ <br /> <br />Basement: Septic Permit Fee: 25.00 <br /> <br />/ agree to build accord/nE to Ele submitted p/an~ and speclf/c~tlon$, the laws of the State of OreEon ~nd ~e Ordinances of M~rien <br /> <br />County, Permit expires if work not commenc~ wit~/n ~20 (fays, <br /> <br /> REMARKS <br /> <br />PLEASE NOTE.' Driveway and sidewalk inspections ara required by_~ublie Works: <br /> Other permits required by' this dept: Plumbing ~ 588~5036 <br /> <br /> <br />