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Appl Reed" <br />By::. <br /> <br />WEDNESDAY <br /> <br />PATTY <br /> <br />Date: 12-6-84 <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 /> <br /> 588-5147 -- 588-5148 <br />5::00 P,M ........................ CODE-A-Phone ................... 8::00 AM <br /> <br />Permit No::_ 84-1844 <br /> cr <br /> <br />Date: 12-10-84 <br /> <br />Type of Permit::_ <br /> <br />POLE BUILDING <br /> <br />.Tax Lot No,::_ <br /> <br />Address:: <br />Owner: <br /> <br />8724 GOt~ CLUB RD SS <br /> <br />SANTIAM GOLF CLUB <br /> <br /> LEONARD ACKLER <br />Bldr, & No," <br /> <br />Plans by;: .., <br /> <br /> Sec,,: 33 twnshp <br /> 769-3485 <br />Phone:, Address;__ <br /> <br /> Address; <br /> <br />8 lw <br /> Rge.: ......... <br /> <br />SUBLIMITY 97385 <br /> <br />Setbacks:: <br /> <br />Lot No i__ __.BIk No' Sub,, dy,,:: <br />Area of Bldg,, 2nd Base- <br />Main Fir.:. __ Fir ' merit',' <br /> <br />Roof Type M~TAL Truss/Stick:' <br />Heating Wood <br />System Stove:: <br />Septic Tank New <br />Site Eval.: .Instal,: <br />Exist. No, <br />System:: .Gals.: <br /> <br />VALIDATIONS:: <br />Zon in g('"'~ f,~ / <br /> <br />Septic Tank' <br />Date __ <br /> <br />Lot Size, <br /> <br /> Total <br /> Area: 10~99 . Valuation' <br /> 999 sq f% Bidg, Permit <br />STICK Height;, 10 ~ Fee:: (+ 5~) <br />Water - <br />Supply; Elect, Fee <br /> <br />. ~ Mechanical;: <br /> <br /> Plans:: ~ <br /> Date: ~ <br /> <br />Mech, Fee:; <br /> <br />Plumb. Fee:_ <br />State <br />Surcharge" (4%) <br /> <br />/_2-/(2 -~-~ <br /> <br />Plans Chki Fee <br />Septic Tank <br />Permit Fee:: <br /> <br />6990.00 <br />- 62.30 <br /> <br />,~_,50 <br /> <br />40.63 <br /> <br />I agree to build according to the submitted plans and specificatione, the laws of the <br />State of Oregon and the Ordinances of Marion County, PERMIT EXPIRES IF WORK <br />NO T C OMMENCEO WI THIN 180 DA YS, I further expressly warren t 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 /> authorized representative of a <br /> registered builder <br /> <br />The work will be performed <br />by a registered builder <br />Other (please specify) <br /> <br />DEQ Surcharge <br /> <br />TOTAL FEE:: <br />BLDG, <br />RECEIPT NO <br />Driveway <br />Permit Fee <br />Site Plan <br />Review Fee:: <br />Public Works <br />Receipt No.:: <br /> <br />108.7~ <br /> <br />I have read this app#catlon in its entirety and certify that the stated information is true and correct to the beet of my know/edge <br /> <br />SIGNATURE OF APPLICAN~ /~ ~ I ' <br /> PLEASE NOTE: Driveway and sidewalk inspection are required by Public Works; 588-5036 <br /> <br /> Other permits required by this dept,: Plumbing E] Electrical El Mechanical r'l <br /> <br /> <br />