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i~ioN <br />Ap~: Revd:c <br /> <br />By:'~ <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br />Senator Building ~ 225 <br />~0 High St., N.E. 2nd Floor <br /> Salem, Oregon 97301 <br /> <br />permit NO, ~ <br /> ~ <br /> <br /> 688-5147 - ~a~,5148 <br />Date: 5-2/[-t~2 ~:00 P.M.- ........... CODE-A-Phone 588-5373 .......... 8:00 A,t~, _ , ~'~, _~_ ,~- ~' '~ <br /> , ~~,~ ~uate: ,~ ~,,,,,~ <br /> <br />A~dr~s: ................ ~c. , Twn~p, ~. _. <br /> ~U~LAg & N~C~ C~ <br /> <br /> ~ ..... : , ~3 ?/ ,??/~ ,,,~- <br /> P~,~. U~Var~ <br /> ..... 1,,.[,:7- <br /> <br />Use of 81d~,; <br /> <br /> m~bile <br /> <br /> ' Mi~ Req <br /> <br />Sub <br /> <br />Lot No-' BIk. No: <br /> <br />Water Supply: <br />Sewage ~-Jte B1-1175 <br />Disposal; . Evah <br /> <br /> 14 <br />Area of gldg: <br /> <br /> R~f <br />Savant: TY~: <br /> <br />System: ..... <br /> <br />BTU: .. , <br /> <br />Valuation: <br /> <br />Petmi! Fee: ..... <br /> <br />State Surcharge: <br /> <br />35.00 <br /> <br />Plans Chk. Fee: <br />Total F~: 91.40 <br /> <br />VALIDATIONS: ' n~ <br />au .LA S <br /> <br />I a9~ to build acco~Tlir~ to ~e su~it~ plan~ a~ ~ifi~tbn&, ~e la~ of ~e S~e ~f Oran a~ ~ ~ridn~e~ of M~ion <br />C~, Permit expires if ~rk not ~mmen~ within 120 days. I f~rh~r expr~y War~nt ~at t comply W/~ ~e pr~Vi~sof ORS <br />701.~5 to 70L 125 <br />( J lamar~/~te~builderor( ) <br />{ J The ~rk will ~e pe~orm~ by a r~i~ <br />( ) I am pe~ormt~ wor~ Off a P~V I own or <br /> <br />I have r~ad this aPpllcat/on in it~ ~tifety and certify that the S~t~ information is ~ue and e~r~t tO ~ ~¢ ~ ~ ~w/~ge. <br /> Other ~rmi~ r~uir~ by ~is ~ePt, Plumbi~ ~rical ~.~ <br /> <br /> <br />