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MARION COUNTY <br />" DEPT. OF BUILDING INSPECTION <br /> Senator Building #225 <br />Appl, Recd.: thurs 220 High St., N.E. 2nd Floor Permit No.: <br /> Salem, Oregon 97301 <br />By: cc By: <br /> 588-5147 -- 588-5148 <br /> [0/[[/8/+ ~ 5;00 P.M ....................... CODE-A-Phone ...................... 8:00 A.M. <br />Date: Date: <br /> <br /> STORAGE BUILDIN~ <br />Type of Permit: Tax Lot No.' <br /> <br />Address: ' ......... SA'r~'J.'J.~m ~,t©,l~j_L,~ t~:A,~. ~S Twnshp.: ~,~Rge.: ~,,~ <br /> <br /> DAN CARTER <br />Owner: Phone: 769-77~ ' Address: ~~ ~~ ~ <br /> LEON~D AC~ <br />Sldr, & No.: Phone: 76~-~167 Address: <br /> <br />Plans by: .Phone: Address: <br /> <br />Lot NO,;__BIk. NO.: _.__Sub- dy.: <br /> <br />Area of Bldg, 2nd Base- Total 20 x 30 <br />Main Fir.: .Fir.: .meet:. Area: <br /> <br />Supply: <br /> <br /> 12.5' <br />Height:.__ <br /> <br />Roof Type; metal Truss/Stick: <br />Heating Wood <br />System: Stove: <br />Septic Tank New <br />Site Eval,: Instal,: <br />Exist. No. <br /> <br /> 3.77 AC <br />Lot Size:. Corner? <br /> <br />Valuation:__ ~ ~0_0 .__00 _ <br />Bidg, Permit ~-I~ W/~ ~,,~l~.' <br />Fee: (+ 5%) <br /> <br />Elect, Fee: <br /> <br />Mech. Fee: <br /> <br />System: Gals,: Plumb, Fee: <br /> State <br />VAI-~IDATIONS: Surcharge: (4%) 1o54 <br />Zoning: Mechanical: <br />Date: Date: Plans Chk, Fee; 25.~03 <br />Septic Tank: Plans; Septic Tank <br />Date: Date: Permit Fee: __ <br /> <br />State of Or( -- n County. PERMIT EXPIRES IF WORK <br />NOT COM&, t~ ~¢'T OL~'5,~ her expreasly warrant that I comply with TOTAL FEE: 67.00 <br />the proviaio · ~ ./¢~./~') ~ ause; SLOG, <br /> " RECE,PT ,O.: <br /> <br /> The work will be performed Driveway <br />( )orl amoc¢ ¢ Yn ( ) by a registered builder Permit Fee: <br />( ) / am a ( ) Other (please specify) Site,Plan <br /> autho, Review Fee:~~ <br /> registered builder Public Work~-'-'--~ <br /> Receipt NO,; <br /> <br />I have read this applJcaHon in its entirety and oertify that the stated Jn[ormatJon Js true and oorreot to the be~t of my knowledge. <br /> <br />SIGNATURE OF APPLICANT: ~ ~ <br /> PLEASE NOTE; Driveway and sidewalk inspection are required by Public Works: 588-5036 <br /> <br /> Other permits required by this dept: Plumbing [] Electrical [] Mechanical 63 <br /> <br /> <br />