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AppL Recd ........ <br /> <br />By. c~i~ <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br /> Senator Building tr~25 <br /> 320 High St., N.E. :)nd Floor <br /> ~alem, Oregon 97301 <br /> <br /> 588-5147 -- S88-':14~ <br /> <br />Permit No:. 85-908-D <br /> <br />By: Pa~,~,F <br /> 9-5-85 <br /> <br /> Q.~,~;_;. Art Pea. os · - .~hone: ...... Ad~lmaa: ~1~ .5206 21st St. N~ <br /> .............. <br />~an~a by .... Phone: .,,Address- ~ <br /> <br />P~,/ 7~ Uae l V=lfk~lt/AdJ ['""u'"'"¥T~FO <br /> <br />Lot No.:.___.,__~lk. NO., SUb. (;IV <br />Area of IBIdg 2nd Base- Total <br />Main Fir: , Fir_: merit: ....... Are8. <br /> <br />Roof Type Truss/Stick', Height;, <br />Heating Wood Water <br />System. Stove' ~upply 'd~l~ <br />Septic Tank ~ New <br />81ts EvaL: ~nstaL <br />ExiSt. No, <br />System: .... ,,,..Gars: : <br /> <br /> FrOntJ J,,,,, S,de~ eeir <br /> I <br /> <br />...... ~lu~t~o~: <br /> Bldg Pe~mlt <br /> Fee: (* 5%) <br /> <br />vALIDATIONS: <br />Zoning MechaniCal- <br /> <br /> Date .......... <br /> <br />I agree to build accord/n~ t~ ~he su~m/tt~ plans and ~P~tft~atlon~. the la~ of the <br />Sta~ el Oreg~ an~ t~ ~dtnan~ea of Marion C~n~. PERMIT EXPIRES IF WORK <br />NO T COMMENCED WITHIN 180 DA YS. I fu~her exp~y warrant that I e~ly with <br />the ~ovls~ona of ORS 701.~ to 701.125 <br /> <br />( ) The work will be performed <br /> by a register'ed builder <br />( ) Other (please Specify) <br /> <br />Elect. Fee <br /> <br />DEQ Surcharge' , ....... <br /> <br />TOT^L <br />BLDG <br />flEGEI~ NO <br /> <br />~lt F~ <br />Site <br />Review Fee:, <br />Public Works <br />Receipt No <br /> <br />REMARKS: <br /> <br />I have read this apDtloat/on in its entirety anE certify that the stated information is true and oorreot to the beat of my knowledge <br /> <br /> PLEASE NOTE: ~eTvveway ar~12ewalk Inap.t,o. ~qulr~bCub;;C Works <br /> Other permi~ r~uir~ by thins dept.: Plumbing ~ Ele~n~l ~ Mechanical <br /> <br /> <br />