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MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br />O~wntown SenaTor Building <br />220 High St.. N,E. 2nct Floor <br /> Salem, Oregon 97301 <br />R.Jd. WITHROW, BLDG. ADMINISTRATON <br />E8~.$147 - S88-5148 <br /> <br />By: <br /> <br />.... Tax Lo1: NO: <br /> <br />Owner: ~aul Ro~h <br /> <br />Phone; Address: <br />Pho.e: '~99--0S07 Addr0~: 38~ Annett ct. NE <br />Phone; Address: <br /> <br /> I C°nd, U~e I Vartance I Fire~e J O~encv <br /> <br /> BIk, NO'~ __ Sub dy. ~.C~:~.WOC~ Hill Lot Size 2½ ac.--~e$ Corner? <br /> <br />well Valuation; ~ 64,0..0.0. ~ O. 0 <br /> <br />Lot NO: 4, <br /> <br />Water Supply-' <br /> <br />Sewage ~ Feds. ~,~ ~; <br />Disposal: .... Se: iC Study: Permit Fee; <br /> No. <br /> 3132 <br /> sq <br /> 1 <br />Are~ o~ Btdg; Stories:~ S~e Surcharge; <br /> Roof <br />Ba~nt: ~$ s~i~--fra~ <br /> Ty~: Plans Chk. Fee: <br />Heating <br />Sy~m: ...... e[ec~c ~o~ed ~ ~ptic Permit Fee: <br /> <br />BTU: ................ Tota| Fees; <br /> <br />20 ~, 50 <br /> <br /> 37.50 <br />247.11 <br /> <br />9514 <br /> <br />I agree to but/d ac',~/~ ('0 the submitted p/aris an~t ~l~ecffTcetloll$, the/av~ ~f the $~t/~ of Or,on arid the Ordinances of Marion <br /> <br />Count. Permit exl)lre; If w~g not commenced wlth/& 120 dav~ , <br /> <br />VALIDATIONS: ~ ~ <br /> <br /> REMARKS <br /> <br />PLEASE NOTE; Driveway and sidewalk inspections are required by Public Works: 588-5036 <br />Other permits required by this dep~: Plumbing [~"~'~-lectrlcal ~ <br /> <br /> <br />