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MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> ~enetor Building # 225 85-618 <br />A~I. Reed: -- 220 High ~t., N.E, ~d Floor Permit No. <br /> ~lem, Oregon 97301 <br /> By: Patt~ ........ <br />~Y: 5~5147 - ~8-51~ <br />D~: ,,,, ,~ -t ~ -~ 5:~ P.M.- .......... CODE-A-Phone 588-5373 ........... 8:00 A.M,, .... Date: 6-24-85 <br /> <br /> T, ~ ~f Per~i~' ~ ~ <~~1~ ............. Tax Lo~ No: <br /> <br />Bldr, & No,: Phone: ~dmss: <br /> <br /> P~ne: ~ l ~'Zon' [ O~'~V iTM <br /> Plans by~ ~, cha," J ~t. '" co~. ~dm~: <br /> <br />~ of Btdg 2~ Base- Total <br />Main ~lr~_ ~ Fir , ~ ment- Area~~ VoluOtiom .. <br /> <br />Roof Type= Truss/Stick: .......... Fee: ( + 5%) <br />H~,ng Wood Water ~ <br />Sy~tem~ ~ Stove: Supply:~l~ Elect. Fee: , <br />Septic T~k New <br />Site Evolo. ~ __ instal,~ Moth, Fee~. <br />Exist. No. <br />$y~m .... Gals.: , , ~umb. Fee~ ...... <br /> State <br /> <br />V~IDATIONS~ Surc~rge: <br />Zoning: Mechanical; <br />Do~:~ ~ ~ Date: Pbns Chk. Feet <br />S,~,icTonk:l/~ ~ --~ Plans: ~ ~epti¢ Tank <br /> Date: .... ~:, - <br /> <br />~ ag~ ~ build ~cording to the ~ubm~t~d plans and sp~ificofion~ the Iow~ of the 5~ DEQ Surehorge~ <br />o~ ~on and the ordinan~s of Morion County. Perm~ expires if work not comme~ed <br />wi~in 180 days. I further expressly warrant that I com~y with ~e p~vi~ions of ORS TOTAL FEE: ...... <br /> <br /> ( ~ J om performing work on o pro~rty I own or occupy RECEIPT <br />( ) I am a registered b~iider OR ( ) the authorized ~ ) The work will be performed by a registered builder <br /> m~esen~tlve of 0 ~gi~red builder ( ) Ot~ [p/ease s~cify) <br /> <br />REMARKS:: <br /> <br />I h~ve reed this application i[~ its entiYety and certify that the ~tated i'nformatl'on i& true and correct to the be~t of my know'lerJge <br /> <br /> PLEASE NOTE: Driveway and sidewalk inspec/L4ons are required by Public Works;: 588-5036 <br /> Other permits required by'this/dept: Plumbing [] Electrical [] <br /> <br /> <br />