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AppL Revd;; <br /> <br /> ,0-2 <br />Date: <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building # 225 <br /> 220 High St,,, N,E, 2nd Floor <br /> Salem, Oregon 97801 <br />R.H. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 - 588-5148 <br />5;:00 P.M.- ........... CODE-A-Phone 588.5373 ........... 8;:00 AM <br /> <br />By:: <br /> <br /> f~_ .:iteI .,valuation <br />Type o ,Tax Lot <br /> <br />Owner; ~,,~.~r3 K. rtl¢.~/ I Cr ( t Phone:: 36214972 Address:: 805~ <br />Bldr. & No · Phone:: Address: <br /> <br />Twnshp,, (,~-~ Rge ~'(~ <br /> ~7325 <br /> <br />Plans by:: Phone: Address: <br /> <br />U~e of BIdg :: NO ~drrns Min Req Front Sides Rear <br /> <br />Lot No; .BIk. No:: <br /> <br />Water Supply;; <br />Sewage r~ 1:, tic Site <br />Disposal __ Evah: <br /> <br /> No,, <br /> <br />Sub dy. <br /> <br />Valuation: <br /> <br />Permit Fee: <br /> <br />Area of Bldg; Stories: <br /> Roof <br />Basement:: Type; <br />Heating <br />System; <br /> <br />State Surcharge; <br /> <br />Plans Chk. Fee:: <br /> <br />Septic Permit Fee; <br /> <br />BTU,' <br /> <br />Total Fees; <br /> <br />VALIDATIONS: <br />ZONING <br /> <br />I a£ree to bu#d <br />Co~J¢~l Permit ex/; <br />7011005 tO 701.125 <br /> <br />( ) /'he work w/7/be <br />( ) lemper£orrru7 <br />( ) Other (p/ease <br /> <br />REM, <br /> <br />Rcpt. No;; <br /> <br /> Lot Size <br /> <br />$ <br /> <br />120.00 <br />1~0.00 <br /> <br />PLANS <br /> <br />PLEASE NOTE: Briveway and sidewalk inspections are required by P~c Works: 588-5036 <br />Other permits required by this dept:: Plumbing ~ Electrical ~ <br /> <br /> ) the authorized representative ofa regk~tered bu#der <br />property I own or occupy <br /> <br />to the submitted plans ~nd specifications, the laws of the State of Oregon and the Oridoance$ of Marion <br />work not commenced w/thin 120 days. I furhter expressly warrant that / comply with the prowsiOn$ of ORS <br /> <br /> <br />