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AppL Recd: <br /> <br /> Dot;tie <br />By: <br /> <br />Date: , 4/24/85 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building #225 <br /> 220 High St.~ NE. 2nd Floor <br /> Salem. Oregon 97301 <br /> <br /> 588-5147 ~ 588-5148 <br />5:00 P.M ...................... CODE-A-Phone .................. _8:00 A.M.., <br /> <br />By:. <br /> <br />Date: <br /> <br />Type of Permit:: <br />Address <br /> <br />addn. to shop <br /> <br />13964 J~h~len ~ad NE Aurora <br /> <br />Don B~rzson <br /> <br /> 678-5765 <br />· Phone;: <br /> <br />Bldr & NO.:_ , same <br /> <br />Phone, <br /> <br /> .Tax Lot NO,; <br /> <br />_ Sec,: 14 Twnshp 4 Rge 1W <br /> <br /> d dress 1305 No. Birch Canby <br /> ,4-,L ,o Box 264 97002 <br /> , Address <br /> <br />Plans by <br /> <br /> Use of eldg <br /> <br />Phone: Address <br /> <br />_.Sub dy __~__1~;;~ LOt Size__. Corner?_ <br /> Base- T°t~.k"'~"°~ ~ <br /> ent::__ Area,1072 Sq ~. 9~112 <br /> -- <br /> truss 4.03 <br /> <br />VaJuation <br />Bldg Permit <br />Fee (+ 5%) <br /> <br />Lot NO _BIk No ::~.__ <br />Area of Bldg 2nd <br />Main Fir Fir.:: _ <br /> metal <br />Roof Type:: , Truss/Stick__ Height, 12' <br />Heahng Wood Water <br />System' __ .Stove' .Supply E~ect, Fee <br />Septic Tank New <br />Site Eval Instal Mech Fee <br />Exist, No <br />System:: .... Gals, Plumb Fee <br /> State <br />VALIDATIONS Surcharge (4%} <br />Zoning Mechanical .52.33 <br />Date Date Plans Chk, Fee. <br />Septic Tank Plans:: Sepbc Tank <br />Date ,,,.Date Permit Fee __ .... <br /> <br />DEQ Surcharge:: <br /> <br />REMARKS:: ...... <br /> <br />I agree to build according to the submitted plans and specifications, the laws of the <br />State of Oregon and the Ordinances of Marion County, PEt~MtT EXPIRES tF WORK 140.0~ <br />NOTCOMMENCED WITHIN 180DAYS Ifu~'therexpresslywarrantthatlcomplywith TOTAL FEE <br />the provts~ons of OFfS 701005 to 701 t25 because 0LDG <br /> RECEIPT NO:: '~'~' d¢;'~-- <br />( ) I am performing work on a property I Own r ) The work will be performed Driveway <br /> or occupy~ 1 by a registered builder Permit Fee __ <br />( I am a reg,sta, /~04./~ ~-"~f*¢¢~*''¢¢¢~' ) Other (please specify) Site Plan <br /> authorized re[, <br /> ,~'~.,~,~.,~.,~M,.,~,~I,,,~'g~" ¢ ~:; Review Fee ........ <br /> buff <br /> Public Works <br /> ',~2 &F~l ~"O '~ "~'"~¢' ~a Receipt No. <br /> <br />SIGNATURE OF APPLICANT ,"~/~J~. . <br /> PLEASE NOTE: Driveway and sidewalk inspection are requited by Public Works: 588-5036 <br /> <br /> Other permits required by this dept.: Plumbing [2 Electrical E] Mechanical ri <br /> <br /> <br />