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Appl Recd <br /> <br />By -- Dottie <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br />Senator Building #225 <br />220H~ghSt,NE 2nd Floor <br /> <br />Permit NO <br /> <br /> Salem, Oregon 97301 <br /> By__ <br /> <br />Type of Permit ,, [emode[ Tax Lot No_ <br />Address- 20256 Grim Road~ NE Aurora . Sec ,__Twnshp :: <br /> <br />8-15-84 <br /> <br />Rge~ __ <br /> <br />Owner No. Marion School Dist.f}lSphone .678-5835 Address: same <br /> Doug Mmddaen <br /> <br />Bldr & NO eam~ _Phone __ _Address ~, <br /> <br />Plans by Phone ,, , Address:: __ <br /> MapPage I ZenI ~ono Change PSat Cond Use _ var,ance]AdJ I FT)f-O Occupancy <br /> <br /> IJseofBIdg [ No BdrmSor Ccc Ld ] MinReqsetbacks Er°hi I S'des ] Rear <br /> <br />Lot NO __ Elk No .~_Sub dy:: ..... <br />Area of Bldg 2nd Base- Total <br />Mare Fir Fir, __ merit_ Area -- <br /> <br />Roof Type::-- 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 />Zoning Mechanical:: <br />Date DOte <br />Septic Tank <br />Date __ <br /> <br />Water <br />Supply <br /> <br />· ~Height __ <br /> <br />_Lot Size ..... Corner? _ <br /> <br /> Valuation __ 1 <br /> Sldg Permit 4.33 ~00 <br /> Fee (+ 5%) <br /> <br />Elect Fee __ <br /> <br />Mech Fee .... <br /> <br />.Date <br /> <br />PtumbFee__ <br />State <br />Surcharge (4%) <br /> <br />PlansOhk, Fee. <br />Septic Tank <br />Permit Fee <br /> <br />17.32 <br /> <br />none per ~'rancie <br /> <br />I eg/ee to build according to the submitted plans and specifications, the laws of the <br />State of Oregon and the Ordinances of Marion County PERMIT EXPIRES iF WORK <br />NO T COMMENCED WI THiN !80 DA YS, / further expreasly warrant that I comply with <br />the provisions o! ORS 701 005 to 701 125 because: <br /> <br />( ) I am performmg work on a property f Own <br /> or OCCUpy <br />( ) I am a registored builder OR i ) the <br /> authorized representafive of a <br /> regPatered builder <br /> <br />( ) The work will be performed <br /> by a regmtered budder <br />( ) Other (pieces 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 />471.97 <br /> <br />REMARKS <br /> <br /> I here read this application in ~ta entire~tffythat}the stated information ia true and correct to the best of my know/edge <br />, .............. <br /> Other permr~ req~red bythisdept Plumbmg B Electrical ~ Mechanical B <br /> <br /> <br />