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AppL Revd: <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Downtown Senator Building <br /> 220 High St., NE. 2nd Floor <br /> Salem, Oregon 97301 <br />R.i4. WITHROW, BLDG, ADMINISTRATOR <br />588-5147 - ~S.S148 <br /> <br />Type of Permit; Mobile liome ~Dlacement & Electrical Connection <br /> , .Tax Lot NO: <br /> <br />Address:.~ / ~ . ~c. Twnshp. <br /> <br /> Sylvester Pavlicek . P~ne'-678-57~ Address: ~ sa~e ~ above <br /> Eil~oy's Mobile Sales <br /> <br />Plan= by: <br /> <br />residence _ 2 bedroom <br /> <br />Phone;~ Address; ' ' o~ Rd. <br /> Salem, OR 97303 <br />Phone: Mdress; <br /> <br />Lot No: .Btk. No; Sub dy. <br /> <br />Water Supply: well <br /> <br />Heating <br />System; <br /> <br /> Valuation; <br />Sewage e×isti~ septic Fe~, ~.00 <br />Disposal Study; ~ Permit Fee; <br /> <br /> No_ 2.00 <br />Area of ~ldg; 28 x 66 Stories; State Surcharge; <br /> <br /> Roof <br /> Type'- Plans Chk_ Fee:: <br /> <br /> Septic Permit Fee: <br /> <br /> Total Fees; <br /> <br /> Rcpt. No; <br /> <br />I agree to bull,? according to the submltt~d pl.e~, e.nd epe~ificatione, t~e la~ of ~e Sm~ of Oran and ~e Ordtnance~ of Marion <br />Count. Permit exp/r~ i'f ~rk O~ ~menc~/~ln 120 Ka~ ~ ~ <br /> <br /> 1,~O ga~. ~¢~ti~ t~k. q75 ft. ~ainfield. ;~ob~le home bein~ replaced was ~p~ <br /> <br /> befo~e permit was required (1971)- <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections ate required by Public Works: <br /> Other permits required by this dept; Plumb;ng [] Electrical <br /> <br /> <br />