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June 15 <br />Appl. Revd; <br /> <br /> ,. MARION COUNTY <br /> DEPT, OF BUILDING INSPECTION <br /> Senator Building # 225 <br /> 220 H~gh St., N,E, 2nd Floor <br /> ~lem, Oregon 97301 <br />R.H. WiTHROW. BLDG. ADMINISTRATOR <br /> 588-5147 -- 588-B148 <br /> <br />By: ~ <br /> <br />Type of Permit: mO~J,~ home loc0.tio;~ poTm,~,~ Tax Lot NO; ..... <br /> <br />Owner: Bri an Booc~c <br /> <br />Bldr. & No,; ..... <br /> <br />Plans by; <br /> <br />Phone: ?4g-lqq8 Address: <br /> <br />Phone= ,/ Addre~: <br /> <br />~naC~. <br /> <br />Lot NO; BIk. No:, Sub dy. <br /> <br />Addre~; <br /> Fire '~'~'n~" I O~cupancy TVDe of Conic. <br /> <br />Water Supply: l.tr~'~ 1 <br /> <br />Sewage <br />Disposal: ~,? ,~ ~ r' <br /> <br />Area of BId~; <br /> <br />i~asement: <br />Heating <br />System; ... <br /> <br />BTU: <br /> <br /> ....... Valuation: , <br /> <br />Site <br />Eval: Permit Fee: ~'~*~' .~ <br />No. <br />Storie~: State Surcharge: // <br />R <br />Type: Platls Chk, Fee: <br /> <br /> ..... Septic Permit Fee: <br /> ....... Tota, Fees; <br /> <br /> No: 0 <br /> VALIDATIONS:~ ~_ ~ <br /> ZONING ~_, SEPTIC P~NS <br /> <br />I agree to bu//~ ~cordi~ to the submi~ plans and ~ff/eat/o~, ~e la~ of ~e $~te of O~ <br /> <br />70L ~5 to 701.12$ ~c~: <br />( ) /ama~i~eY~build~of( ) ~eau~oriz~r~re~taE~ofar~i~e~builE~ <br />( ) The ~rk wffl be performed by a r~i~e~ builder <br />( ) I am p~/ormi~ ~rk on a prope~ I ~wn Or ~upy <br /> <br />/ have r~d th,~ appl~atiOn in its entire~ ~ certify that the s~ /hformation is ~ue and co~t <br /> <br /> PLEASE NOTE: Driveway a~ sid~alk ins~ions am r~uir~ by Public Works: <br /> <br /> Other permits ,..i¢~ by ~,, deP,: Plumbing O Electrical <br /> <br /> <br />