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AppL Reval; <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION /~.~ <br /> Senator Building # 225 <br /> // <br /> 2~0 High St., N.E. ~d F,oo~ t NO. o u -/. <br /> ~lem, O~gon 97301 ~ <br /> R.H, WI~OW. BLDG, ADMINI~KATOR BY: /~ ,, <br /> <br />5:00 P.M.- ....... COD~-A-Phone 5~.5373 ........... 8:00 A.M.. Oa~e~ ~ ~ ~/ <br /> <br />Plans by~ <br /> <br />Phone: 362-4972 <br /> <br />,Tax Lot NO~ <br /> e./9/ <br /> <br />Phone: , , Address: <br />Phone: Address: <br /> <br />BIda: <br /> :;i ~; .,w:lua~ion <br /> <br />Je o~:. ~-,~: , ...... M ln Req. <br /> Set'bae. ks. <br /> <br />Lot No: ,BIk. No: <br /> <br /> ,,~:11 <br />Wa~er Supply: .... <br />~age ~cp~ic Site <br />O isposal: Eval: <br /> NO. <br />Area of Bids; Stories:_ <br /> Roof <br />Basement:: Type: <br />Heating <br />System; <br /> <br />BTU: <br /> <br />Sub dy, <br /> <br />Valuation; <br /> <br />Permit Fee: <br /> <br />Plans Chk. Fee: <br /> <br />120o00 <br /> <br />PLEASE NOTE: Driveway and sidewalk inspemlons are requlr~d by Pu~b ~c Works: 588-5036 <br /> <br /> Septic Permit Fee; <br /> <br /> 120.00 <br /> Total Fees; ~: __ <br /> <br />VALIOATIONS: q O' /~'"' <br /> <br />I ~r~ to flui/d ~{o~/~ to the ~flmitt~ plans ~fld ~ificatio~s, ~e la~ of d~e S~te of Oran and ~e Ori~nances of <br /> <br />( } The ~r~ will be s~tm~ by a r~im~ bu/tder <br />( J I am O~formi~ ~r~ P~De~ i Own Or ~upy <br /> <br />REMARKS: <br /> <br /> <br />