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~te<tay ~/ MARION COUNTY <br /> Aal~l. R'¢v;d. DEPT. OF BUILDING INSPECTION <br /> ~lem. Oregon 97~1 By: ~- <br />~v: ~ R.H. wITHROW. 6L~. A~iNiSTRATOR <br /> <br />Permit Number <br /> <br />........ Location Permit; <br /> <br />City: <br /> <br />Owner: <br /> <br />I~ldr, &,Noj .i , Phone: Address.' _.~- <br />Pla~s by: , Phone: ,, Address: ....~ i - , <br /> <br />Size of Lot; I0~ a~.t~l~ Corner? Permit Fee-' <br /> <br />Area of Eltdg: ~1~--[ ~lgallt Plans Chk. Fe~: ...... - <br />NO. Of Stories: ,' ~ ,,~ State SU~al~e: T <br /> <br />,,, ~eptic Permit Fee; ........ <br /> <br /> T¥1~e of Roof: L ~ ,, ., , Total Fees: <br /> Rapt. No.. <br /> <br />· I a~ to b~i~f e~rdlr~ ~ '~ ~i~ ~.'~ ~f~o~, ~ la~ of ~e ~ qf O~ ~,~'O~i~ of <br /> <br /> [ ~ALtOATIO~: · <br /> ZONI~ SE,~AN K . ~ PLA~ <br /> : .,"l '* <br /> <br /> REMAR~ <br /> <br /> ~ ~ ~~_. ............... <br /> <br />PLI~ASE NOTE: Driveway ami sidewalk int~pac~ions are ~qulr~i by Public Works: 588-5036 <br /> Other ~ermlts reouir~d by this deot: Plumb~ [] <br /> <br /> <br />