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ApOl, Revd~ . ~oaday <br /> <br />Da_ 'ce..'.. ~ept.,,m~er. <br /> <br />Type o{ Perm~: ....... <br /> <br /> 5027 ~re D~ve.~ C~scade <br />Address; <br /> <br />Owner: ~ber~ H, ~V!_~ Phew: 362-1355 <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br />Downtown Senator 6uilding <br />:220 High St., N.E. 2nd Floor <br />,setemo O1~9on 97301 <br />R.~I. WITHROW, BLDG. ADMINISTRATOR <br />688.S147 -- 588~j148 <br /> <br />...... Phone;.. <br /> <br />Plans by: self Phone: <br /> <br /> einsle family residence <br /> <br />[,.o,c No; 7 ell<. No: 1 Sub dy. <br /> <br />Water Supply: ~ "~e~[1 private ,. <br />S~a~e Fees. <br />D~posal; .?optic Study: <br /> <br /> No. ~L <br />Area of Bldg. 276~ a~ Stories; <br /> ~o Roof ~_~. <br />I~asement; Type: ., <br /> <br />Heating <br />SYstem: eZect:ic <br /> <br /> Min Req, <br /> Setbacks: <br /> <br />Casa~u:l,e Park <br /> <br />Address: .... <br /> <br /> By: . <br /> <br />Tax Lot No:. ?.587~-~01 <br /> <br />Sec. 12 8s R e 2~ <br /> & ,~'~nshp, ~ g. <br /> <br /> 5068 Cha=leato~ D~ <br /> <br />Address; . <br /> <br />Valuation; <br /> <br />Address: <br /> <br />LoT Size ~ Comer? <br />32,000.00 <br /> <br />Permit Fee;, 1'L5."'50 <br /> <br />Surcharge: /.~G~ <br /> <br />Plans Ghk, Fee; <br /> <br /> 37.50 <br />Septic Permi,c Fee: ...... <br /> <br />I agree to build according 1/0 ghe submitt~ plans sod ~oecification$, the law~ O! the State o£ Ore, on #/IC/the O~l/nan~es of Mar/on <br /> <br />Cou~[y. Permit expire~ if WO~¢ not/~ w/~hf~ 120 <br />SIGNATURE OF APPLICANT=. ~ ~ .~ <br />VA~i'D~moNs: ....... ?~?~' ' ~ ' ' <br /> <br />S~ ~ ~ ay:l/ ~ ~1 ,~v~%~ ~y: <br /> <br />PLEASE NaTl,: Driveway and sidewalk inq)ectlons are required by Publi~ Works; 588-5036 <br />Other permits required by thls dept: Plumbing [] ElectriC. al [] <br /> <br /> <br />