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AppL Reval: ............ <br /> <br />1~--2--80 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building # 225 <br /> 220 High SL, N.E. 2nd Floor <br /> Salem, Oregon 97301 <br />R.K WI1TIROW, BLO~L ADMINISTRATOR <br />~88-5147 - ~88-$148 <br /> <br />By: <br /> <br />P.M. ---CODE-A-Phome· S88-5373 ........ 8;00,,A.M.. ,, , , Date; <br /> <br /> Tm( Lot No. <br />789-3371 ~ ~ <br /> <br />Plans by: <br /> <br />Lot NO: ~lk. No: <br /> <br />Water Gui>ply: <br /> <br />Sewage <br />Disposal: <br /> <br />Area of Bldg: <br /> <br />Heating <br />System~ <br /> <br />Sub dv, <br /> <br />Eval: <br /> <br />Storier~ <br /> <br />Roof <br />Type; <br /> <br /> 130 X 130 <br />Lot Size__Corner? __ <br /> <br />Valuation: $ <br />Pe~it Fee: ~0 ~~ <br />State Sun=barge: .................... <br /> <br />Plan~ Chk. Fee; <br /> <br />Septic Parfait Fee: <br /> <br />BTU: Total Fee~: <br /> <br />25.00 <br /> <br /> Rcpt. NO: <br /> <br />ZONING SEPTIC PLANS <br /> <br />I agree to build accOrdir~l to the subrnlr~Y ~ ~d ~if~t~, ~e io~ of ~e S=~ of O~n a~ ~e Or~ofM; <br />( ) lam~emi~rk~ap~iO~upy <br /> <br />i have ~ad thi~ application in ir~ entireW and certify a~a; ~he Smtoff information t$ ~ue ~ c~t ~ ~e ~t Of my k~wli <br /> <br />SIGNATURE OF APPLICANT___~~ .............. <br /> PLEBE ~TE: Ori~y a~ ;~lk indies are ~uir~ by ~ic Works; ~ <br /> <br /> <br />