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Appl, Reed: ......... 33./E S]BAX <br />By; PAT~/ <br /> <br />Date: 11-20-83 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building # 2:28 <br /> 220 High St,, N,E. 2nd Floor <br /> Salem, Oregon 97301 <br /> <br /> 588-S147 - 588-5148 <br />5:00 P,M,- ........... CODF,A-Phone 588-5373 ........... 8:00 A.M. <br /> <br />Type of Permit: ~4OODS3B;)VK IN ~O~LE HO["~ .Tax Lo~ No: <br /> <br />Address; 10955 ~[X RD SE A~VlLLE Sec.~ Twnshp._ <br /> <br />Owner: F~N~ MI~,. Phone; 749-135~ Address: <br /> <br />Rge, <br /> <br />81dr. & No ' S~LF Phone; Address: <br />Plans by: Phone: Address: <br /> <br />Lot No,: ..... BIk, No.: Sub dv <br />Area of Bldg, 2nd Base- Total <br />Main FI:.: Fir,: ment: Area: <br /> <br />Lot Size ..... Corner? <br /> <br /> Valuation: <br /> Bldg. Permit <br />£oof Type: . Truss/Stick: Fee; ( + 5%). <br />Heating Wood Water <br />System: ....... Stove: Supply: Elect, Fee: ..... <br />Septic Tank New <br />Site Evah Instal - Mesh, Fee: <br />Exist. No. <br />System: __ Gals,: Plumb. Fee: <br /> State <br /> Surcharge: <br /> <br />Da fe:.-~_, Plans Chk, <br />Plans: ~' Septic Tank <br />.... Date~ ....... Permit Fee~ <br /> <br />VALIDATIONS: <br />Zoning: <br />Date: <br />Septic Tank: <br />Date:___ <br /> <br />I agree to build according to the submitted plans and specifications, the laws of the 5fate DEQ Surcharge:. <br />of Oregon and the Ordinances of Marion County. Permit expires if work not commenced <br />within 180 days, I further expressly warrant that I comply with the provisions of ORS TOTAL FEE: 18~0 <br />701,005 to 701,125 because: <br />( )1 om performing work on a property I own or occupy RECEIPT NO,: '~J~:/~ .............. <br />( ) I om a registered builder OR ( ) the authorized ( ) The work will be performed by a registered builder <br /> representative of a registered builder ( ) Other (please specify) <br /> <br />REMARKS: <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: 588.5036 <br />Other permits required by this dept; Plumbing ~ Electrlcai ~ <br /> <br /> <br />