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Appl. Revd; ~t e o c~ay.,, <br />By: <br />Date; 3-14-79 <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br />Senator Building ¢k 228 <br />220 High St,, N.E. ,2nd Floor <br /> Salem, Oregon 97301 <br />R.H. WITHROW, 6LDG. ADMINISTRATOR <br />S88-5147 - 588-5148 <br /> <br /> Site Evaluation ohly <br /> <br />Address: ~4th St. Aurora ~ <br />Owner: Tom Lais Phone: 98~-9581 Address: <br /> <br /> Tax Lot No: <br /> <br />__ s o. <br /> 305 Main St. Aurora <br /> <br />Bldr, & No.; ......... <br /> <br />__ Phone;_ Address:_ <br /> <br />Plans by; Phone: Address: <br /> <br />use of 81dg,: <br /> <br />Lot No: BIk. No; ..... Sub dy, <br /> <br />Lot Size 100 x l~__~_Comar? <br /> <br />Water Supply:, Q'~ ty Valuation: . <br />Sewage Site <br />Disposal;. ~?~4¢. Evah Permit Fee: __ <br /> <br /> No. <br />Area of BId9; __ Stories' State Surcharge: <br /> <br />Basement; -- Type: Plans Chk. Fee: <br />Heating <br />System; Septic Permit Fee: <br /> <br />Site ?~valuation: 37.50 <br /> <br />BTU; __ <br /> <br />/ agree to build according to the submitted plans and specifications, the /aws of the Stare of Oregon ~nd the Ordinances of Mar/on <br />County. Permit exp/re~ if work not commend with/r~ <br />SIGNATURE OF APPLICANT: ~ ~.-- 1~ <br />~'~ / ..... <br /> <br /> ¢.t :' <br /> <br /> RE~ARK8 <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: E88-5836 <br />Other permits required by this dept: Plumbing ~ Electrical ~ <br /> <br /> <br />