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Appl Reed::_ <br /> <br /> JODY <br /> <br />Bate /__./36 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building #225 <br /> 220 High St=, NE 2nd Floor <br /> Salem, Oregon 97301 <br /> <br /> 588-5147 -- 588-5148 <br />5::00 PM CODE-A-Phone 800 A M <br /> <br /> 86-765 <br />Permit Ncg2¢~.' ¢¢3~.z~8 <br /> <br />By:: <br /> <br /> 8-5-86 <br />Date:: <br /> <br />Type of Permit, <br /> <br />Address <br /> <br />Owner <br /> <br />BIdr & NO <br /> <br />Plans by:: <br /> <br />:ct. i.,., I'{C~L,,; PLf' ' ' <br /> <br />11742 ;;7 lY~% MP RD S'L <br /> <br />~. p. ETC~N <br />.. iJ2i'~l~l PiO i-[Oe::Zi, <br /> <br /> ~__Tax Lot No:: 56506-000 <br /> <br /> ^D/IA./ __ Sec _Twnshp :: ___Rge <br /> [,~i\T 362 2620 2117 NC.;i~.¢=D C7 97306 <br /> <br />__.Phone ,, ~ Address <br /> <br />Phone,, Addrese <br /> <br /> NO adrm~ 3 propo~Jlitb&e,s hcuse .:::~,.) ..] Sides /' ,~..~_~ <br /> .Sub dy .LotSize;: 250 x <br /> Corner? <br />Base- TOtal <br /> <br /> Bldg Permit <br /> 35,00 <br /> Height. Fee (+5%) i.75 <br /> Water <br /> ~Supply well Eject Fee, ~-O,00 <br /> <br />Lot No __ __.BIk, No <br />Area of 81dg, 2nd <br />Main Fir Fir:: ....... <br /> <br />Roof Type::. ,,, Truss/Stick:: <br />Heating Wood <br />System Stove <br />Septic Tank New <br /> E'6~505 <br />Site Eval __, instal <br />Exist NO <br />System Gals:: <br /> <br />VALIDATIONS, <br />Zoning <br />Bate, 7- <br />Septic <br />Tan k j~z¢ <br />Date ____J! <br /> <br />Mechanical' <br /> <br />Plans <br />Date:: ~ .... <br /> <br />/ agree to build according to the submitted plans and specifications, the laws of the <br />State of Oregon and the Ordinances of MariOn County, PERMIT EXPIRES IF WORK <br />NO T COMMENCED WI THIN 180 DA YS I further expressly warrant that I comply with <br />the provisions of ORS 701005 to 701,125 because,;' <br /> <br />( ) i am performing work On a property i own <br /> or occupy <br />( ) I am a registered builder OR ( ) the <br />)resentative of a <br /> <br />( ) The work will be performed <br /> by a registered builder <br />( ) Other (please specify) <br /> <br />Mech Fee;; <br /> <br />Plumb Fee <br />State <br />Surch~arg.ez,. (4%) 3.00 <br /> <br />Plans Chk Fee:: <br />Septic Tank 75,00 <br />Permit Fee <br /> <br /> 5.00 <br />DEQ Surcharge <br /> <br /> 16704.' <br />TOTAL FEE:: <br /> <br />RECEIPT NO ~ <br />Driveway <br />Permit Fee <br />Site Plan <br />Review <br /> <br />I have read this , and certif,' that <br /> <br /> , and ]tared by Public Works 588-5036 <br />Other required by this depth Plumbing ~ Electrical [3 Mechanical [] <br /> <br /> <br />