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A~I, Reed: <br />By: Dottie <br />Date: 7/11/86, <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator 8oildlng # 229 <br /> 220 High Sc., N.E. 2nd Floor <br /> Salem, Oregon 97301 <br /> <br /> 588-5147 - 588-5148 <br />5:00 P.M.. ........... CODE-A-Phone 588-5373 ........... 8:00 A,M, <br /> <br />Permit No. 84-1253 <br />By: i~attg <br /> <br />Date: 7-23-84 <br /> <br /> Type of Permit: ~oblle Home Replacement. & AdecLuacy check & Eti~xCiLO~I~t~.~ & se:vice <br /> <br />Address: 8834 barley Aoad, SE Aumsville Sec.~Twnshp, 9 Rge, <br /> <br />Owner; Duane Hoffman Phone: 76,9-2219 ,Acldress:~J~, 8337 barley Road~ SE <br /> <br />2W <br /> <br />Bldr. & No,: Private party Phone; Address: ~.~/~?~ ~ <br />Plans by: Phone: Address: <br /> <br /> ~ Min R~, ~ Sides Rear <br /> mobile h~e o, o~,, L~: 2 ~ J <br /> <br />Lot No.:____BIk. No.. Sub dy. <br />Area of Bldg. 2nd Sase- Total <br />Main Fir,- Fir.:__ ment~ Area. 20x~.0 <br /> <br />Lot Size16 Acr~t~Corner?__ no <br /> <br /> Valuation: <br /> Sldg. Permit 50 o00 <br />Roof Type: -- Tru55/Stick:-- Fee: ( + 5%) ~,50 <br />Heating Wood Water <br />System- Stove: ........ Supply:. Elect, Fee: <br />Septic Tank New <br />Site Eval, .__ Instal,: ......... Mech, Fee: <br />Exist. NO. <br />System: ....... Gals.: 500 Plumb. Fee: <br /> State <br />VALIDAv,T~M S:,-'-~~. , Surcharge: <br /> Mechonical: <br />Oate:.~JJ~.---~ I [ I ~/~_ Dote~. Plans Chk, Fee: <br />Septic Tonk: ~ ~ %~ ~ Plons: Septic <br /> Tonk <br />Dore .... ¢~ /'~J~U] Dote:. Permit Fee:. ~0.00 <br /> <br />I agree to build according to the submitted plans and specifications, the laws of the State DEQ Surcharge;. 5.00 <br />of OregOn and the Ordinances of Marian County. Permit expires if work not commenced <br />within 180 days. I further expressly warrant that I comply with the provisions of ORS TOTAL FEE: 161_10 <br />701.005 to 701.125 because: <br /> <br />3.60 <br /> <br />I am performing work on a property I own or occupy RECEIPT NO.: <br />I am a registered builder OR ( ) the authorized ( ) The work will be performed by a registered builder <br />representative of a registered builder ( ) Other (please specify) <br /> <br />REMARKS: OLD MOBILE HoME SHALL BE MOVED OFF - ONLY O[",~ MOBILE HOME ALLOWED ON PROPeR'fY <br /> Just installed new drain f~eld 150' long <br /> <br />I have read tht~ application /n its entirety and certify ~hat the Stated information is true ~nd correct to the best of my know/edge. <br /> <br />PLI:ASF NOT~: Driveway and sidawalk inspect*ohs are required by Public Works: <br /> Other permits required by this dept: Plumbing ~] Electrical <br /> <br />588-5036 <br /> <br /> <br />