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MARION COUNTY <br />DEPT. OF' BUI LI~ING INSPECTION <br />SeaatOt Building # 225 <br />220 H~gh St., N,E. 2nd Floor <br /> S~lem, Oregon 97301 <br /> <br />Per.it NO, <br /> <br />Bldr. & No.: ........ Phone: <br /> <br />Plans by; Phone: <br />Me,peg0 ~(~-- e/1 Zone Chg.~ LPart' Cond~"Cl~ <br /> <br />Area of Bldg. 2nd Base. Total <br />MaJnFIr.~__: FIr.:------..--.~.~_ meat, · Area. <br /> <br />Roof Types ........... T~uss/Stick. <br />Heating Woc~l Water <br />SyStem: Stove; SUppIy~ <br />,Septic Tank New <br />Site Eval, Instal.:. <br />Exist. No. <br />Systeml .................... Gals.: <br /> <br />VALIDATIONS: <br />Zoning: Mechanlcah <br />Date~. ¢~/(~ Date~ <br />Septic Tank, (.~ ..~ Plans: <br />Do~r I v t""~ Date:. <br /> <br />Valucrtionr <br />Bldg. Permit <br />Fee~ (+ $~1 ............ <br /> <br />..... I~lect. Fee, <br /> <br />Mech. Fee~ .................... <br /> <br />Plumb. Fee= ...... <br />State <br />Surcharge: <br /> <br />Plans Chk. Fee:__ <br />Septic Tank <br />Permit Fee! /' ~ <br /> <br />OEO Surcharge. <br />TOTAL Fief- /~ ~ ,,, <br /> <br />I ogeee to bu~/d oc¢ord/ng to the submitted plans elnd :~pocificelt;onS, fha laws of the State <br />OF 0~ and ~e O~inan~s ~f Melrion C~Unty. Perm~ expire~ if ~r~ not ~mme~d <br />~thin 180 da~. I ~6er expressly ~rrant that I ~mply w;~ the provisions of ORS <br />701.005 ~ 701. 125 <br />( ) I am per~rming ~ek <br /> <br />( ) 7/~e work will be performed by el ~,g/ltered builder <br />( ) Other (please specify) <br /> <br />) I om o regi~fi~red buJlder OR ( ) the authorized <br /> representative of o registered builder <br /> <br />PLEASE NOTE; Drivewav a~ sidewalk inspectlons are r~uir~ by Public Works: 5~-5036 <br />Other permits r~uired by this de~; Plumbi~ ~ El~tri~l ~ <br /> <br /> <br />