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MARION COUNTY <br /> DEPT, OF BUILDING iNSPECTION <br /> Senator Building # 225 <br /> 220 High St., N.E. 2nd Floor <br /> Salem, Oregon 97301 <br />R.H. WITHROW, IBLDG, ADMINISTRATOR <br />588-5147 - 588-5148 <br /> <br />Phone: <br /> <br />Plans by: Phone: <br /> <br />Lot NO: -- 81k. No: <br /> <br />Water Supply" ~ <br />Sewage . ~ Site <br />Disposal: .._~ .~ .:~f/d~ ---~ Evah .... <br /> <br />Ba~ment: <br />Heatl~ <br />~y~m: <br /> <br />BTU: ..... <br /> <br />PermitNo, L~ 0 ? <br /> <br />Tax Lot No: <br /> <br />.... Sec. ~Twnshp, __Rge. __ <br /> <br />Address: <br /> <br />Address: <br /> <br /> Lot Size/~7~J~//~'}[orner? ~, 4" <br /> <br />Valuation: ~ -~-/~--- ~'~' · <br />Permit Fee'- <br />state Surcharge; f '~2 <br /> <br />~ptl: P~rmit Fee: ~ -- , ..... <br />Total Fees; <br /> <br />Rcpt. No; <br /> <br />VALIDATIONS: <br /> <br /> , <br />~te: ~-- Date: Dam- .~J T <br /> REMAR~ <br /> <br />PLEASE NOTEt Driveway and sidewalk inspections are required by Public Works. 588-5036 <br />Other permits required by this dept: Plumbing [] Electrical <br /> <br /> <br />