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App~ Recd.: <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br />Senator Building #225 <br />22~ High St., N.E 2nd FloOr <br /> <br /> Salem, Oregon 97301 <br /> <br /> S8~-5147 -- S88-$148 <br />.................... CODE-^-Phone ............ ~-00 A.M. <br /> <br />Permit No :_~~-- <br />By' , ~'~,. .... <br /> <br /> Tax Lot No' <br />se . ig Twnsj $ <br />Address: <br /> <br />..... Address:__ <br /> <br /> Alteration Permit <br />Typ~ of Permit:-- <br />Address.~ 10047 Sta~ton /{~,,. 5E Aumsville <br /> 399--7962 <br />Owner:., , R~dy ~ltz Phone' <br /> <br />Address: _ <br /> <br />Lot No.: Bik No · ..,, Sub. dY,; <br />Area of BIdg 2.d lass- <br />Main ~lr: __._---,,Fir ...... me,t; <br /> <br /> Lot~l 20 acze~ Comer? <br />Total <br /> <br />Root Type' TrUSS/Stick:. Height: <br />Heating WoOd Water <br />Symem: ~ $1ove' Supply. well <br />Septic Tank New <br />Site Eval.. Instal.: <br />Exist NO. <br />System: 79-871 Gals <br /> <br />VALIDATIONS; <br />Zoning. Mechanical: <br />Date.. ~, , , Date: <br />SeptleTsnk'~t//,J[~"~ ~t ,-~1 ~,~.~-~- Plan~- <br />Date' ~ ~ tv~l~~ Date: <br /> <br />I agree to t~Ulld according tO the ,~lubmitted plans and al~eotfi~ationa, the laws el the <br />3tats of Ofe~ot~ end the Ordinances df Marion Couf~ty. PERMIT EXPIRES IF WORK <br />NO T COMMENDED WITHIN 180 DA Y$~ I further expre~ly warrant that I comply with <br />the provisions Of ORS 701.005 to 701.125 because; <br /> <br />Valuation- <br />nldg. Permit <br />Fee (.. 5%) <br /> <br />Elect, <br /> <br />( ) I am performit~g worlt on a property / Own <br /> or o¢~;upy <br />( ) I am a registered builder OR ( ) the <br /> authorized re~entafi~ of · <br /> regmtered b~ilder <br /> <br />( ) The wol'k w/Ii be performeff <br /> by a regmtered builder <br />( ] Other (please specify) <br /> <br />Mech. Fee, <br /> <br />Plumb, Fee <br />State <br />Sure. barge, (4%). <br /> <br /> Plans Chk. Fee, <br />Septic Tank <br />Alt~*Permit Fee. 75,O0 <br /> <br /> DEQ Surct~arge' 5 <br /> <br /> TOTAL FEE: 80.00 <br /> .,oG. <br /> RECEIPT NO,; <br /> Driveway <br /> Permit Fee' - <br /> Site Plan <br /> Review Fee: ~._ <br /> Public Works <br /> Receipt NO .... <br /> <br />REMARKS .... <br /> <br />I have reed this apl~lleetien in/ts entirety and certify that the stated intorf~latton/$ true arid correct to the beat et i'ny knowledge <br /> <br /> PLEASE ~OT~. Driveway and al~ewalE mape~tlo~ are~e~ei~e~ ~¥ Public Work~=' ~-~ <br /> <br /> <br />