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A~ppl. Revd: Tuesday <br /> <br />d~ <br /> <br />Date; 8/4/81 <br /> <br /> MARION COUN I Y <br /> DEPT. OF BUILDING INSPECTION <br /> S~nator Building ~ 225 <br /> 2:20 High St., N,I:, 2nd Ftoor <br /> Salem, Oregon 97301 <br /> <br /> 588-5147 - ~;88-5148 <br />5:00 P.M,. ........... CODE-A-Phone 588-5373 ........... 8:00 AM, <br /> <br />Type of Permit; <br /> <br />Address: 8?24 GOlf Course Road~ N. E. Stayton <br /> <br />Owner:: Santiam Golf Climb -' Phone;, <br /> Kay Kelley <br /> <br />Bldr. & No.; - ~L. - W / ' / / rhone: <br /> <br />Plans by: J. Pfeife~ Const. Phone: <br /> Map Page I Zone I Zone Chg,, Part. " Cond. U~ <br /> I <br /> <br />Use of Bldg.: <br /> <br />Tax Lot No: <br /> <br /> 33 8 <br />Sec __.Twnshp. , <br /> <br /> Address:. <br /> <br /> Address: $ilverton <br />Variance Fire Zone 1 Occupancy <br /> <br /> Min Req. Front Sides <br /> Setbacks:: ~ ~ <br /> <br /> iW <br />Rge <br /> <br />Type of Const,, <br /> <br />Lot No: .BIk. No: Sub dy. <br /> <br /> well <br />Water Supply: <br /> <br />Sewage Site <br />Disposal: septic Eval: <br /> No. 1 <br />Area of Bldg; 3000 Sq ft. Stories:_ <br /> Roof <br /> tile <br />Basement: Type: <br /> stick & truss <br />Heating <br />System; Gas Forced Air <br /> <br />BTU: <br /> <br /> Lot Size Corner? <br />Valuation: S. ~50 = 000, <br /> <br /> 492.20 <br />Permit Fee: <br /> <br /> 19.6S <br />State Surcharge; <br /> <br />Plans Chk, Fee; 313.43 <br /> <br />Septic Permit Fee; <br />Total Fees: 825.31 <br /> <br />VALIDATIONS; <br />ZONING . SEPTIC TANK PLANS ~3 .-~"~ <br /> <br />I agree to build according to the submitted plans and sp~JfmatJons, the la~ of the State of Or, on and the <br />County. Permit expires ff work not co~enc~ withM 120 days, / furhter expressly warrant that I comply with the provisions of ORS <br />701.~ to ZOI. 125 becau~' <br />( ) lamar~isteredbuilderor( ) theau~orlz~representativeofar~ister~bu#der <br />( ) The work will be pefform~ by a r~ister~ builder <br />( ) I am pe~fofmi~ woyk on ~ p~per~ I own or occupy <br />( ) Other {pl~se ~ify~ ~ ~ , ~ ~ <br /> <br />SIGNATURE OF APPLICANT.~_~-~ ~ <br /> PLEA$~ NO~ ~;:~ sider ~ inspe~iCre requirod by Public Works;; 588-~036 <br /> Ot~ permits r~ulr~ by this ~pt' Plumbing ~ ~lectrical ~ ~h. X <br /> <br /> <br />