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d FRIDA~ <br /> <br />By: P>.TT Y <br />Date: 8~1-86 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building <br /> 220 High St., N,E, 2nd Floor <br /> Salem, Oregon 97301 <br /> <br /> 588-5t47 -- 588-5148 <br />5:00 P,M ....................... CODE-A-Phone ...................... 8:00 A.M, <br /> <br /> · 86-787 <br />Permit i~o,; <br /> <br />By; Patty <br /> <br /> 8-11-86 <br />Date: <br /> <br />Address: ..... 7742 TERPJ~NCE LAN~ SZ AUM$~ZLLE 97325 <br /> <br /> Tax Lot No.:.. <br />Sec,: ~::~Twnshp,:~ ~ <br /> <br /> JIM ENGLAND <br />Owner: Phone: Address: <br /> <br /> bJ3RIAN J52~ER5 <br />BIdr, & No,t__ , <br /> <br />Plans by: <br /> <br />use of BI g,' <br /> ~ bedroom & lposs, bd~m <br /> <br />Phone:__585-8095 .Address: <br />Phone: Address; <br /> <br />8795 JOV, L~CT SE <br /> <br />FT/PD [ Occupancy Type of ConsL <br /> <br /> 7 2 <br />Lot No.:_ IAlk. NO,: Sub. dv.' <br />Area of Bldg. 2nd Base- <br />Main Fir,: Fir.: ____ ment: <br /> METAL <br /> <br />Roof Type: Truss/Stick: <br />Heating W(~L H:: T,,,~°d NO <br />System: .Stove: <br />Septic Tank New <br />Site EvaI.: _instal.; <br />Exist. Yf!;S No, <br />System: __ Gals.: <br /> <br />VALIDATIONS: <br /> <br /> TERR; NC~ .Lot Size: 165x228Corner?_,, NO <br /> Total 240 sq ft <br /> Area: Valuation:_ 4~ 440.00 <br /> STICK Bldg. Permit 50.50 <br /> Height: .... Fee: (+ 5%) 2.53 <br />Water WET,T, <br />.Supply: Elect. Fee: <br /> <br />Mech. Fee:. <br /> <br />Plumb. Fee: <br />State <br />Surcharge: (4%) <br /> <br />2.02 <br /> <br />Zoning; ~ Mechanical; <br /> <br />I agree to build according to ~he submitted p~ans and specifications, the laws of (he <br />State of Oregon and the Ordinances of Marion County. PERMIT EXPIRES IF WORK <br />NOT COMMENCED WITHIN 180 DA YS. I further expressly warrant that I comply with <br />the provisions of ORS 701.005 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 /> author/zed representative of a <br /> registered builder <br /> <br />[ ) The work will be performed <br /> by a registered builder <br />( ) Other (please specify) <br /> <br /> fleet <br />Plans Chk. Fee: __ <br />Septic Tank <br />Permit Fee; <br /> <br /> 3.84 <br />32.83 <br /> <br />6O <br /> <br />DEQ Surcharge: <br /> <br />TOTAL FEE: <br />8LOG. <br />RECEIPT NO,: <br />Driveway <br />Permit Fee; <br />Site Plan <br />Review Fee: <br />Public Works <br />Receipt No,: <br /> <br /> 5,00 <br />156.72 <br /> <br />REMARKS: <br /> <br />I have read this application in its entirety and certify that the stated information is true and correct to the best of my know/edge. <br />SIGNATURE OF APPLICANT: y,, ~ ~' <br /> PLEASE NOTE: Driveway and sidewalk insp~ti~ a~e required by Public Works: 588-5036 <br /> <br /> Other permits required by this dept.: Plumbing ¢3 Electrical [] Mechanical El <br /> <br /> <br />