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Ap~t, Revd, ,~:._2,.~ j <br /> <br /> MARION COUNTY <br /> DEPT, OF BUILDING INSPECTION <br /> Senator Building # 225 <br /> 220 High St., N,E,, 2nd Floor <br /> Salem, Oregon 97301 <br />R.H. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 -- 588-5148 <br /> <br /> Permit No. ~[..~ O ¢ <br /> <br />Tax Lot No:: <br />Sec Twnshp Rge __ <br /> <br />Address;; <br /> <br />Plans by:: Phone:: <br />Ma9 Page I Zone ] Zone Che i Part Cond, U~e <br /> <br />lJse of Bldg. No Bdrms, <br />Lot NO:: --~.'f BIk,, No:: / Sub dv ~7 ~ <br /> <br />Address: <br /> <br /> Type of~nst <br />Veri~nce Fire .;~e Occupancy <br /> <br /> Front | A/!Sides ~ ....... <br /> <br />Lot S zd/(- .,~l~[J.~ Corner? <br /> <br />Water Supply- ,~:"'-" <br />Sewage _ ~ ¢ Site <br />D[sposal;; .~z.~? ~-.. Evah <br /> ~ ' <br /> <br />Area of Bide: '~ ~ Stories; <br /> <br />Basement; Type; <br />Heating <br />System;; <br /> <br />Valuation: __$, ,~-~,'~-P.'~, ~-~,", <br />Permit Fee: ....... <br />State Surcharge;; ~ .;~,,' <br /> ee: · =,-'. ..... <br />Septic Permit Poe:: <br /> <br />BTU:: <br /> <br /> Rept,, No;; <br /> <br />I agree to build according to the submitted plans and speci'fzcati'ons~ the laws of the State of ~reg~-t'~an"d?h~eOrdinances/of <br />County. Permit expires if work not~. ~ /~./2~commenced within 120 d,y~. <br /> <br />VALIDATIONS:: <br />ZONING SEP%IC TANK PLANS <br /> By:: <br /> <br />REMARKS <br /> <br />PLEASE NOTE:: Driveway and sidewalk inspections are required by Public Works- 588-5036 <br />Other permits required by this dept: Plumbing [] Electrical ~-J <br /> <br /> <br />