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Wednesday MARION COUNTY ~'¢/ - ,~7 ~- <br />"-~-'~ Appl R'cvd. DEPT. OF BUILDING ~NSPEOTION Permit Number <br /> 3180 Center St,, N.E, ~ ~ <br /> SR Salem, Oregon 97301 By;; <br />By;; R,H. WITHROW, aLDG. ADMINISTRATOR <br /> <br />Bldg Permit Foundation under existing residence <br />Address::__ !2173 Wes~ S~ay~on Rd., Aumsville <br /> <br />Location Permit:: <br /> <br />__ City: <br /> <br />Owner;; Danny Baxter <br />Bldr, & No <br /> <br />Phone': 7~9-5797 Address;; same as a~ove <br />Phone: _ Address: ,,__ <br /> <br />Phone: Address; ,, <br /> <br />Plans by:: <br />. i ' F ire.~> Zo,e Occupancy~ .... Ty~e,~Co~ <br />Map Page Zone Zone Chg, Part Cond, Use Varience T~ <br /> <br />U~e of Bldg Min Req Front Sides Rear <br /> fo~nda%ion Setbacks:; <br /> <br />Lot No:: ....... BIk, No::__ <br /> <br /> Sewage Feas,, <br />Water Supply:L Disposal:: Study? <br /> <br />Sub dy, Valuation:: ~; 800.00 <br />Size of Lot;; Corner?__ Permit Fee: , ,_ 8°00 <br /> <br /> 30 X $0 <br />Area of Bldg:; Plans Chk,, Fee:: __ <br /> <br />NO. of Stories:; ..... 2 . State Surcharge;;_ .24 <br /> <br />Basement:: Septic Permit Fee: <br />8.24 <br />Type of Roof;; ..... Total Fees:: <br /> Re.t, No. 5Ca CZL7 <br /> <br />I agree to build accord/rig to the submitted plans and specifications, the law~ of the State of Oregon and the Ordinances of Marion <br />County, Permit expires if work not commenc~ w/thin 120 d¢ys. <br /> <br />SlG NATU RE OF APPLICANT;;VALIDATIONS:: <br /> <br />ZONING SEPTIC TANK <br />,6y:: By:: <br /> <br />PLANS , j <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 [] <br /> <br /> <br />