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Type of Permit; , <br />Addre~; <br /> <br />~,iLl !/.L. EDD/NG$ <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION' <br /> DowntOwn Senator Building <br /> 220 High St,, N.E. 2n~J ~loor <br /> Salem, Oregon 97301 <br />R,i4. WITHROW, BLDG, ADMINISTRATOR <br />588-6147 - 588-5148 <br /> <br /> ct No: <br /> <br />: . ..~...~,859 32~6 m~', ~0~77 C;,~:,~.,~ h,'.NE LYONS <br />Phone: A~re~: ...... <br /> <br /> Address: <br /> [ <br /> <br />Lot No: , 81k. No: Subdv. <br /> <br />Water Supply: <br />~wage <br /> <br /> No. <br />Acea of Bfdg; '~P(3~ ~!- q: Stories: ] -- <br /> Roof <br /> <br />Heating <br /> <br />Fire Zone '~ccuC~n~y ' <br /> <br /> Front I $ kJe-3 Rel~r <br /> <br />PermZt'Fee: ......... 1 ~9. ~O ..... <br /> <br />State Surcharge: ~+?PP <br /> <br />Plans Chic. Fee! ~+. ?1~, . <br /> <br /> ~eptlc Permit Fee: .... , r~l .O. ~ <br /> Rcpt, No: "'~ 7 " <br /> <br />~ Coun~, ~rmit expir~ If ~ OOt ~m~~ J~ ~V& ~ ~ J <br />~GNATU~E 0F <br /> <br /> R EMAR K8 <br /> <br />PLEASE NOTE: Driveway and ¢idewalk inspections are requ;red by Public Works; 588-5036 <br />Other oermit$ cequired by th{s del)t: Plurnbln~ r~l ElectriCal ~-I <br /> <br /> <br />