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,, Appl,, R'cvd,, <br /> <br />By:: <br /> <br /> 4/2/76 <br />Date:; <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> 3180 Center St., N.E. <br /> Salem, Oregon 97301 <br />R.N. WlTHROW, BLDG. ADMINISTRATOR <br />$88-$147 - 588-5148 <br /> <br />Permit Number <br /> <br />Bldg. Permit; <br /> <br />Location Permit: <br /> <br />City: <br /> <br /> Cliff Duvall <br />Owner;; ;;d F/oore <br /> <br />Bldr,, & No,,, Ray Fo~9~. f/ 11165 <br /> <br />Phone: 588-1967 <br /> <br /> 399-9705 <br />Phone;; <br /> <br />Address:~ <br /> <br />Plans by:: Phone;; Address; <br />Use of Sldg Min Req Front <br /> <br />Lot No- ~,.,_ BIk. No:: 2 <br /> <br />Sides i Rear <br /> <br /> Sewege <br />Water Supply:: Well Disposal:: Septic <br /> <br />Study? <br /> <br />Sub dy. Cascade Park Valuation: $ 23,500. <br /> <br />Size of Lot:. 4.35 Corner? Permit Fee:; <br />Area of Bldg;; 1500 Plans Chk,, Fee; <br /> <br />97. O0 <br /> <br />2.91 <br /> <br />No, of Stories;; <br /> <br />State Surcharge:.__ <br /> <br />Basement; Septic Permit Fee:: 25. O0 <br />Typeof Roof; Truss Total Fees:: gQ.gl /3 ~' 9/ <br /> <br />,opt. No,, ,9?/¢/ <br /> <br />I a#ree to build according to the submit,~ plans and specifications, the law~ of the State of Oregon and the Ordinaoces of Marion <br />County, Permit expires if work not.~nced within~ays, <br />SIGNATU.E OF APPLICANT:: <br /> <br />PLANS <br /> <br />PLEASE NOTE:: Driveway and sidewalk inspections are required by ~ubl~Lc-Works;; $88-5036 <br />Other permits required by this dept: Plumbing <br /> <br /> <br />