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AppL Recd,: Wod- <br /> <br />sy: <br /> <br /> M/tRION COUNTY <br />DEPT, OF BUILDING iNSPECTION <br />Senator Building #225 <br />220 High St., N,E. 2nd Floor <br /> Salem, Oregon g7301 <br /> <br /> S88q~147 -- <br /> <br />Date:lO-16-85 <br /> <br />5:00 P.M ....................... CODE-A-Phone ...................... 8:00 A,M. <br /> <br />Type of Permit: New R~i~.e. nce & Septic <br /> <br />Owner:.,,,. Charles Gu~he-¢ ..,.,. Phone: 678,.-1~515 <br />6iclr, & NO' self .Phone;~ddress; <br /> <br />Permit No.: 85-1055 <br /> <br />By: ~ <br /> <br />Date: 10-28-85 <br /> <br /> Tax Lot No.: <br /> <br /> 33 3s lw <br />Sec.: Twnshp,; Rge.; __ <br /> <br />Address; <br /> <br />Plans by: Phone:~ddress: <br /> <br /> 18.5 ac=9s . no <br />LOt No.: Rlk. No.: · ,Sub. dv.' ......... Lot Size: <br />Area of ~ldg880 ~nd 600 Base- ~'zn[SF~otal <br />Mal~ Fir,: Fir,: ment; 768 ~mA'. ~248 Valuation: <br /> ~ldg. Permit <br />Roof Type: Me%al Tru~/Btl~k: etick Height: Fee: (~ 5%) ~3.03 <br /> <br />Heatingu~ Wood Water <br />System: 4,~at pump Stove;__1 ~Supply: <br /> well <br /> <br />Septic Tank New <br />Site Eval.: Instal.: <br />Exist. No. <br />System: yes- 78"-1818 .Gals.: , ,' .... <br /> <br />35 <br /> <br />Elect. Fee; <br /> <br />Mech, Fee: . <br /> <br />Plumb. Fee: <br />State <br />Surrherge:_,~4%) <br /> <br />10.42 <br /> <br /> VALIDATIONS: <br /> Z°ning ~...z.¢/"/ ~_ /~ //l. ~,'''Me°tlen~cal: <br /> Date; -~"/&.,~,.~J'l ~ /~ ~//--W~ ~ate: Plans Chk. Fee: , 169.30 <br /> <br />State of Oregon and the Of EInanc~ of Madon~n~ PE~IT EXPIRES IF WORK <br /> <br />~he provisions ol ORS 701,00~bl, l~meoau~ ~ ' <br />() ,am pedorm,n~ork~.~ ( ; The work will beperformed <br /> or Occupy ~ ~ ~ ~ by a regetered builder <br />( ) I am~egist~ b~OR ( ) the ( ) Othe~ (p/ease specify) <br /> <br />REMARKS: ~oblle Hom~ will b~ =~,~ upon file -- ~lec,Pl~ a Mech permits <br /> out ~ phases. " ' 'k <br /> <br />60.00 <br /> <br />TOTAL FEE: 518,28 <br /> <br />BLDG. <br />RECEIPT NO,; ~ <br />Driveway <br />Permit Fee: Existing <br />Site Plan <br />Review Fee'. .... <br />Public Works <br />Receipt No.: <br /> <br />I/lave read this application in its e~tirety and certify that the stated information/~ tr~e and correct to the best of my know/edge. <br /> <br /> <br />