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Appl. Reed: .,~ <br /> <br />IVlARION COUNTY <br />DEPT. OF BUILDING IN.~PECTION <br />Senator Building # 225 <br />220 High St., N,E. 2nd Floor Permit No. 430 <br />Salem, Oregon 97301 <br /> By: Dottie <br /> <br /> 588-5147 - 588-5148 <br />Date: 8:00 P,M,- ........... COOlZ-A-Phone 588-5373 ........... 8:00 A.M. Date: 11/23/83 <br /> <br />Type of Permit; <br />Address: / ~ <br /> <br />81dr. & No.: <br />Plans by;3 <br /> <br />Zone I ZOne Chg. ~J Pert, <br /> <br />Lot No.: 7 BIk. No.: .-~ <br />Area of Bide..~.~ 2nd <br /> <br />Roof Type; ~'~ <br />Heating Wood <br />System: ~/e~ Stove~ <br /> <br />$i~ [wh <br />Exist, <br />System~. <br /> <br />VALIDATIONS: <br /> <br />~ (~U~_ ~, ~.~ ~ ~ sTe'~ ,L,°t N °; Twnshp' Rge <br /> <br /> No 8drm=, Min R~, Front Sides R~r <br /> <br />Sub dy. ~ <br />Base- Total <br />menh Area: <br /> <br />Truss~Stick; <br /> Water <br /> Supply: <br />New <br />Instal · <br /> <br />No, <br />Gals · <br /> <br />Zoning: ~ Mechanical; <br />Date: [~ ~.... Date:. <br />sep,,cTa,.,r <br /> · Date, /~J I / --~ <br /> <br />Elect. Fee:,~; <br /> <br />Mech. <br /> <br />Plumb. Fee: <br />State <br />$~rcharge= <br /> <br />I ague to build according to the submitted plans and specifications, the lows of the State <br />of Oregon and the Ordinances of Marian Coun;7. Permit expires if work not commenced <br />within 180 days. I further expressly warrant that I comply with the provisions of ORS TOTAL FEE: <br />701.005 to 701.125 because: <br />(~1 am performing work on a property I own or occupy RECEIPT NO.: <br />( ) I am a registered builder OR ( ) the authorized <br /> representative of a registered builder ( <br /> <br />Plans Chk. Fee: <br />Septic Tank <br />Permit Fee; ............ <br />(.i v o 0 <br />DEQ Shrcharge;. <br /> <br />) The work will be performed by a registered builder <br />) Other (please specify) <br /> <br />I h~v~ r&'ld th,~ application Jn its e,'~tlrety and cart/fy t~~formatJon <br /> <br />StGNATURE OF APPLICANT; ~ <br /> P~ASE NOTE~vewa~and sidewalk inspections are required by Public Works: <br /> ~ther permits required bY this dept; P~umbing ~ Electrical <br /> <br />is true and correct to the best of my knowledge, <br /> <br />588-5036 <br /> <br /> <br />