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MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Downtown Senator Building <br />Appl. Revd; l"rid,~y 220 High St., N.E. 2nd Floor Permit No. --2 f"' /(2 ~ (D <br /> Salem, Oregon 97301 ~. ~.~ _. <br />By: __ drn R.i-I. WITHROW, BLDG. ADMINISTRATOR By; <br /> 588-5147 -- 588-5148 <br /> <br />Date: ~:./2 [¥ 78 <br /> <br />Type of Permit: *z'~}~-¢ttt'~ F,hmily 'J~oom ~,dj. to E~r~tin~ ~loo¢].e FrC~ot No: <br /> <br />Owner: :ion ~'~ Phone: 678-5939 <br /> Address: <br /> <br />__ Sec. Twnshp. Rge <br /> <br /> ~,o [~ 1 £/ox 245 fl ~turor,.~ <br /> <br />72721_,~". .]riclle Troll Drive <br /> <br />Plans by; Phone: Address; <br /> <br />Use of Bldg.: Min Req. Front " Sides Rear <br /> ~ ;,F~S xoor% Den~ ~"u~c',ry ~oom _L~'- <br /> <br />Lot NO: BIk. No: Sub dy. __ Lot Size lO0 x I50corner? no <br /> <br />Sewage Fees. <br />Disposal: ~apt~c ,, Study; <br /> <br /> No. <br />Area o¢ Bids: ~,~) ~ /~ Stories;_ 2 <br /> Roof <br />Basement: .,.~no Type; Cor~.p <br />Heating <br />System; __ <br /> <br />Forced zzir from Mobile Home <br /> <br />Valuation: <br /> <br />Permit Fee: <br /> <br />State Surcharge~ <br /> <br />Plans Chk. Fee: <br /> <br />Septic Permit Fee: <br /> <br />BTU: Total Fees: <br /> <br /> Rcpt. NO; <br /> <br />I agree to build according to the aubf~itted pla.~A an¢l~p,cification$, the I~ of <br />Count. Permit expires if work no~en~w~/l)O da~ .' ~ <br /> <br />VALIDATIONS: // <br /> SEPT~TANK PLANS <br /> <br />ZONING . , , <br /> <br />By: By: ,,, <br /> <br />REMARKS <br /> <br /> <br />