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MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br />SenatOr Building # 225 <br />220 High St., N.E. 2nd Float <br /> Salem, Oregon 97301 <br /> <br /> 588-5147 - 588-~148 <br />5:00 P,M.- ........... CODE.A-Phone 5~8-53'/3 ......... 8:00 A.M. <br /> <br />Type of Permit: <br /> <br />S~ugle Family Dwell!~ <br /> <br />8053 M~ll Creek Road, .ME Auz~sv'~.3~..e $ec. 26 Twnsh~. <br /> Phone: <br /> <br />Owner: ~, Brian ~ <br />Bldr. a NO.: Fo~_e_~t ~q~eeler <br /> <br />Plans by; <br />.... &~ page~1 .~"~on. ,[ '~ J Zone Chg. <br />~ o~ B~.: <br /> ResidemCe <br /> <br />8 age. <br /> <br />t~ No.: BIk. No.. .. Sub dy .......... <br />Area of B .Id~ 2nd Base- Total <br />/V~n flr.:_~'''~''v Fir.- ~ ~nt: .... ~;.[~ <br /> <br />~T~: com~ ......... Trus~/~t~k: <br />H~ti~ W~ <br />System. Gaa FOrced ~IrSto~= ~es Supply: <br />Septk Ta~ New <br /> <br />Exist. <br />System- ~ O=l~.: .... Plumb. F~: ,, <br /> StYe <br /> <br />Valuatlonr 38,000. <br />Bklg, Permit 207.10 <br />Fee: (+ 5%.1 10'36 <br /> <br />VALIDATIONS: Suecharge= .... <br /> <br />Oeha~_ ,. . ~e~ ...... P~n~ Chk, ~: <br /> <br /> ~ ~ Septic T~k <br />Oate~, ~ ~ , I v~ . ~te:~-' ' Permit Fee= <br /> <br />i og~ tv bui~ e~o~ing ~ the submitted pla~ and s~cifi~t;~, ~ laws of ~ Sta~ DEQ Su~e~. <br />o~ ~ a~ t~ Ordlnan~s ef Marl~ Count, Permit expl~s if ~ ~t ~me~ <br />wi~ln 180 da~. I fu~her expre~ly war~nt that I ~mply w;fh ~e p~vision~ of ~S TOTAL FEE: <br />701,005 ~ 701. 125 ~u~e: <br />( ) I am per~rm~ng ~rk ~ a p~ I ~ or ~eFpy . R~EI~ NO.~,, <br /> <br />) I Om o registered builder (DR [ ) the authorh~ed [ ) )Ge ~ork w~l be performed by a regis~red builder <br />representative of a *ag/shared builder ( ) OI/ter ~'p/eose speeify) <br /> <br />I have read this application fl} its entirety and certify that the rtated InfOrmat/OI1 i$ t~ue and correct to ~he beat of my know/edge, <br /> <br /> PLgASE NOTE: Driveway and sidewalk inspections are required by Public Works: 588-503G <br /> Other Detmks required by this delOt: Plumbing ~ EleCtrica! [] <br /> <br /> <br />