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Chris <br />By~ ....... <br /> <br />D,..a.~e 5-20-86 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building F225 <br /> 230 High St., N.E. 2nd Floor Permit NoJ .......~'6-$O5 <br /> Salem, Oregon g7301 <br /> 588-~147 -- 58~148 By ~a~t~ <br /> <br />5-00 P.M ...................... CODE-A-Phone ................... $;00 A.M. <br /> Date: 6-9-86 <br /> <br />Type of Permit' Site ~:v=lua~iot3 ,, , Tax Lot No.- §650E~000 <br /> S~ ~% 32 <br /> 11742 Steinkamp Rd. ~ Sec-: Twnshp., <br />Address ...... T~thy Ha~on ~-1 585-~325 ~117 Nomad <br />Owne~ Ph0~ ..... Addre~. <br /> <br />~ldr. & No_~ Phon~ <br /> <br />Rge.: ..... <br /> 97306 <br /> <br />Pla¢lS by Phone: , Address:__ <br /> M.~ P,~, I P'n I CF { vm'i~"~/Adt I I' Occupa~c, <br /> 48 l ~ J z~.,, ....... Use ,T/FO.. <br /> <br />Lot No ' I~lk. No - .~ub. dy.' <br />Area of 81dg. 2nd Base- Total <br />Main Fir: Fir.' merit;__ Ama: <br /> <br />Roof Type Truss/Stick: .. Height: <br />Heating WoOd Water <br /> well <br />System. Stove' Supply. <br />Septic Tank New <br />Site Eval ...... Instal ...... <br />Exist No. <br />System. Gals.; · <br /> <br />VALIDATIONS' <br />Zoning- Meohantcel: <br /> <br /> 25O <br />i et Size-_.. -'.C~rner?_ <br /> <br /> Valuation ..... <br /> Bldg. Permit <br /> Fee: (+ 5%) <br /> <br /> Elect. Fee <br /> <br /> Mech. Fee:__ <br /> <br /> Plumb Fee: <br /> State <br /> Surcharge: (4%), <br /> <br />nO <br /> <br />Date. Da~e; <br /> <br />I agree to butld according to the submitted plans and specifications, the laws of the <br />Slate of Oregon and the Ordinances O! Marion County. PERMIT EXPIRES IF WORK <br />NO T COMMENCEO WI THIN 180 DA ¥$. I f~rther expressly warrant that I comply with <br />the provisions of ORS 701.005 to ?0t~f~S because: <br /> <br />I am performing work on a property I own ) The work will be performed <br />or occupy by a registered builder <br />I am a registered builder OR ( ) the ) Other (please <br />authorized repr~tv~.<~ ~cc~, n~)t g'~rl ~ ~r~p!v pe~sl~ <br />registered builder b~'k[ ~ th;= ~ ~r,.< P ~n~ ~p~ovol <br /> ~e bu~n~ or sep~ m~n b~ <br /> <br />Plans Chk. Fee- <br />Septic Tank <br /> 1 ~c.0o <br />Permit Fee: <br /> <br /> 15.00 <br />OEQ Suruharge; .... <br /> <br /> 15~.00 <br />TOTAL FEE' <br /> <br />RECEIPT NO.. <br />driveway <br />Permit Fee. r <br />St~e Plan <br />Review Fee: <br />Pul~lic WorKs <br />Receipt No,; <br /> <br />~h~ve~eadthi$app~icati~1~f1it$en#re~yand~ert~fyth~tt?/edi~t~rt~$tr~eandc~rrectt~thebestofmy~n~w~edge- <br /> <br /> Other permits required 13y this dept.: Plumbing [] Electrical rt Mechanical <br /> <br /> <br />