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MARION COUNTY <br /> DEFT. OF BUILDING INSPECTION <br /> DOWlltown Senator Building <br />Appl. Revd: ..~t:. ,2,7;~ 7B 2~0 High St., N.E. 2n~ Floor Permit No. ,~'-"~-~/4~ <br /> SaJam, Or.jori 97301 <br />By: ~~ ~ -. R.~. WI~ROW, BLDG. ADMINISTRATOR <br /> 5~5147 -- ~5148 <br /> <br />Type of ~ermit: itu hOl~e Tax Lot NO" <br /> <br /> ........... <br /> <br />Owner:~0 ,~o.:~ ~o~ ~' ~ Phone: ' ~ d~.- = · <br />BJdr. ~ N0 .... : 0 ·: Add.ss; <br />Plans by: Pho~: <br /> <br /> 1 <br /> <br /> ., . Subdv .... Lot Size ~ : n~' ' Corner? ...... <br /> <br />Lot No: ~_ ~Blk. No:. <br /> <br />Water Supply: <br /> <br />Sewage <br />Disposal: <br /> <br />AreeofBIdg;. ,!', ,,.,~ 7'~ <br /> <br />SyStem: ...... <br /> <br /> Valuation: <br />Feas. <br />.Study: .:;.;,, L~-..:' Permit Fee:- <br />No_ <br /> <br /> Roof <br /> TV~: Plans ~k, Fee; <br /> <br />Septic Permit Fee: <br /> <br />Total F~: ~ _ <br /> <br />i agree to build aecordln~l to ~ ~ubm~l~d plao$ a~ ~ffi~ti~. ~ I$~ of ~e S~ of 0~ and ~e O~im~: of Mado~ <br />CounO~ ~rmit expir~ if ~ ~of ~m~ ~in f~ da~ - <br /> <br /> R~AR~ <br /> <br /> PLEASE~OTE: Oriv~aff a~ sid~alk i~0ti<s are requir~ by Public Works; <br /> <br /> Oth~ ~rmi~ r~ui~ ~ ~ dept: Plu~ng ~ El~rical <br /> <br /> <br />