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~ add,ion to r~.- faz,~iI¥ room <br />Type of P~rmJt: ......... <br /> <br /> , 9193 Shaw ~q. ~<d. ~..~,~ville <br /> <br /> MARION COUNTY <br /> OEPT. OF BUILDING INSPECTION <br /> OOw~OWn ~nat~r 8~ild[r~ <br /> 220 High St., N,E. 2~d Floor <br /> ~lem, Oregon 97301 <br />R.~. WiTHROW, BLDG. A~INISTRATOR <br />5~147 - ~8~5148 <br /> <br /> Cha~le.,; D. Epperly 364-3077 <br />BJdr ~ NO,: : : : , . Phor~e: ~ <br /> <br />LOt NO: ~BIk~ <br /> <br /> well <br />Water ~upp{¥: ......... <br /> <br />Sewoge Fees. <br />O[~pc~i~ s~[~lc ........ Study: . <br /> <br /> Roof shingle- ~%ick <br /> <br />He,ting <br /> <br />BTU: = . ........ <br /> <br />_ : . Address: <br /> <br /> A~dresS; <br /> i VaH.nre~ J - Fi~on~ O¢cu~'.ncy ~ J Typ~ of C~t,, -- <br /> <br /> 580 x 8~0 no <br /> <br /> Valuation: <br /> 30.50 <br /> Permit <br /> 1.2Z <br /> S~e Sur~harge~ <br /> <br />Plans Chk. Fee~ <br /> <br />Septic Permit Fee; .= ........ <br /> <br /> 3~.7~ <br />Total Fee~: ..... <br /> <br />VALIOAT(O N~;' ~ <br />ZONIN~ :~ ~ SEPTIC TANK <br /> <br /> " ' <br /> <br />PLANS <br /> <br />PLEASE NOTE: Driveway a~d ~idewalk Inspections are required by Public Works; <br /> Other permits reQUired Dy this dept; Flumb[rlg ~ Electricsl <br /> <br /> <br />