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Appl. R evd ', <br />BW <br />Da'~e~' 5-31-77 <br /> <br /> single f~ly <br /> Type of Permit: ~ <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Downtown Senator Building <br /> 220 High St., N.E. 2nd Floor <br /> S~lem, Om~on 97301 <br />R.~L WITHROW, BLDG. ADMINISTRATOR <br />588-5147 -- 588-E148 <br /> <br />Bldr. & No,: Phone: __ <br />Plans by: ~e Phone: <br /> <br />U~e ef ~gle family <br /> <br />Lot No: BIk_ NO:, Sub dy. __ <br /> <br />Water Supply; <br />Sewage Sop Lic Fees_ 4--77-1 <br />Dispo~l: Study; <br /> <br /> NO, 1 <br />Area of 81dg: ~,&;15 sO. f~'S~ries; , <br /> <br /> =~ Type: <br /> <br />Heating <br />Sys~m- =orc~ ~ el~ic <br /> <br />BTU; ...... <br /> <br />Permit No_ <br /> <br />.Tax Lot No: .~ <br /> <br /> 19 8S 1,; <br />Sec_ ~Twnshp_ Rge, <br /> <br />Address: <br /> <br />........ Lot Size 10,6 a~:Z~orner? <br />,, $ 24,225.00 <br /> <br />Valuation: <br /> <br />Permit Fee:. <br /> <br />100.50 <br /> <br /> 3.02 <br /> <br />State Surcharge: <br /> <br />Plans Chk. Fee: ....... <br /> 37.50 <br />Septlc Permit Fee; <br />Total Fees: /'~"/'. ~7 ,,~ <br />Rcpt. No: ~ZTZ ~ <br /> <br />/ agree to build accord/nE to the eu~mittecl plans and specifications, the lav~ of the State of Orego~ and the O~lir~11~e$ of Marion <br />Cour~!/, Permit expires if worlc not comr/~~wJthirt 120 daYs.~ d~ <br />SIGNATURE OF APPLICANT: ~ _ · ........ -- <br /> <br />VALIDATIONS: [o--~ ~' <br />ZONI N~~ SEPTIC TA~ PLANS <br /> . ~ ~y: ~ ~. By: ~ .... <br /> <br /> REMARKS <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works; 588-~036 <br />Other permits required by this dept: Plumbing [] Flectrical [] <br /> <br /> <br />