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~' 2uesday <br />Appl, Revd:: <br /> <br />By; <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING iNSPECTION <br /> Downtown Senator Building <br /> 220 High St., N.E. 2nd Floor <br /> Salem, Oregon 97301 <br />R.~I. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 - 588-5148 <br /> <br /> single fa~llily <br />Type of Permit: <br /> <br /> Tax Lot No:: <br /> <br />  ~ 19 8S <br /> X,Y~-"~ ~ _sz~_ _ Sec. __Twnshp ...... Rge, <br /> <br />Phone: ~× Address: 437A Hag~ <br /> <br />Bldr,, & No,:: Phone; Address:: <br /> <br /> ge Zone Chg Pert,, Cond, Use Verience <br />Use of ~%7gle £amily Setbacks <br /> <br />LOt NO:; BIk. NO;; Sub dy. <br />Water Supply; ~e'LZ Valuation; $ 2z~ 225~00 <br />Sewage bop Lic Feas. <br />Disposal;; Study; 4-??-1 Permit Fee: ~00.50 <br /> <br /> NO, 3.02 <br />Area of Bldg; 1615 s~. £t.Stories;; 1 State Surcharge: <br /> <br /> Roof <br />Basement; no Type:: b?x',,ke~ truss Plans Chk. Fee;; <br /> <br />Heating 37.50 <br />System- z, orced ¢.ir electric Septic Permit Fee;; <br /> <br />BTU;: Total Fees: /¢/- ~ ~ <br /> Rept. No: CYZ'TZ 7 <br /> <br />Lot Size 10.6 ec::z'e(~orner? ......... <br /> <br />I agree to build according to the submitted plans and apeclficationa, the laws of the State of Oregon and the Ordinances of Marion <br />County, Permit expires if work not commenced within 120 days. <br /> <br />SIGNATU RE OF APPLICANT: _C~~; O 8J~'~'/~-'~ ........................ <br />VALIDATIONS:: ~ <br />ZONIN~~ SEPTIC TAyK~ PLANS <br /> <br /> RE~ARKS <br /> <br />/rS <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works;; 588-5036 <br />Other permits required by thls dept:: Plumbing [] Electrical ~ <br /> <br /> <br />