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~esday <br /> <br /> AppL R'cvd. <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 />588-6147 - 588-5148 <br /> <br />Bldg. Permit: .... t*o erect, a reside~,,ce <br /> <br />Location Permit: <br /> <br />Owner: West. em Modular Homes Phone:= 588-5240 <br /> <br />Bldr,, & No.: ,, same ~11~8 Phone: Address: <br /> <br />Permit Number <br /> <br /> · City: <br /> <br />Address:080 Sroadwa. y St. <br /> <br />Plans by: ea~te Phone Address: ,, <br /> <br /> residence , ~'~ <br /> Sewage Fees. <br />Lot No: ~, BIk. No::__ ,, Water Supply: corn D[sposeh sewez" Study? <br /> <br />Sub dy. Lakewood Esr-~t,es Valuation:; <br /> <br />Size of Lot: 70 X 87 , Corner?~ Permit Fee; , 69e00 <br /> <br />Area of Bidg: 1 O~fi Plans Chk. Fee; <br /> <br />No. of Stories: ~)~m. State Surcharge: ;~,07 ..... <br /> <br />Basement: ~ '~t : , , Septic Permit Fee: -- .... <br />Type of Roof: Comp.trunS , Total Fees: $71.07 ~ ~..~_ /~ <br /> , Rept, No, / ~,. ~.~ ~ <br /> <br />VALIDATIONS: <br /> <br /> to er,et: a :esiflenc,e <br /> <br />SEPTIC TANK <br />By:; <br /> <br />REMARKS <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by~PPublic Works: <br /> Other permits required by th~s dept; Plumbing <br /> <br />688-5036 <br /> <br /> <br />