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MaN <br />Appl. Reed: <br /> <br />By; <br /> <br />Date: 1-7-85 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building #'225 <br /> 220 High St,, N,E. 2nd Floor Permit No. 8.5-82 <br /> Salem, Oregon 97301 <br /> By: P.=,tt'U <br /> 588-5147 - 588-5148 <br />,5:00 P.M.- ...........CODE-A-Phone 588-5373 ........... 8:00 A,M, <br /> DaTe: 1-17-,~ 5 <br /> <br /> ADDITION TO RESID~NC~ <br />Type of Permit: <br /> <br /> 12433 ARNDT RD N~ AURORA <br />Address; <br /> <br /> RICHARD HAEN~R <br />Owner: Phone: <br /> <br /> Tax Lot No; ~/~)~ ~:~- <br /> <br />678-1540 Address: same <br /> <br />Bldr. & No ' Phone: ...... Address:. <br /> <br />Plans by: Phone: Address: <br /> Map ~age [~"~ , Zo ¢~kf~ Zone Chg, I Part., NO ~e~m~,l Cond. Use VerienceMi~ Req.I Fire Zone I OccuoencY~ides Type of Con~t,Rea~. <br /> <br /> kitchen, bedroom & bath total ~ I [C)'~,' , ?X~I <br /> <br />Lot NO,: BIk. No.: ,,Sub dy. <br />Area of Bldg,lClC~R 2nd Base- <br />Main Fir,: .... Fir.: 1260 ment; <br /> <br />Roof Type: cutup Truss/Stick:. <br />Heating Wood no Water <br />System ....... Stove:__ Supply:. <br />Septic Tank New <br />Site Eval- Instal · <br />Exist. No, <br />System: ...................................... Ools.:__~ <br /> <br /> Lot $iz~~'~''~ ACcorner? <br />Total <br />Area~ ?2~Q Valuation: 55440.00 <br /> <br />stick& truss Fee: ( + <br /> <br />VALIDATIONS: ~. <br /> <br />Septic Tank: / ~ Plgns; <br />Dote:~~ O~fe: ~ ~/~'-~~ <br />I agree m build according to the submitted plans and specification~, the Iow~ of the State <br />of Oregon and ~he Ordinances of Morion County. Permit expires if work not commenced <br />within 180 days. I further expressly warrant that I comply with the provisions of ORS <br />701,005 to 701. 125 because: <br />( ) I am performing work on o property I own or occupy <br />( ) I am o registered builder OR ( ) the authorized ( <br /> representative of a regls~red builder ( <br /> <br />Elect. Fee: <br /> <br />Mech. Fee: <br /> <br />Plumb. Fee: <br />State <br />Surcharge: <br /> <br />Plans Chk. Fee: <br />Septic Tank <br />Permit Fee: <br /> <br />DEQ Surcharge:_ <br /> <br />, 40.00 , , <br />77.50 <br /> <br /> 16.74 <br /> <br />195.65 <br /> <br /> TOTAL FEE: <br /> <br /> RECEIPT NO,: <br />) The work will be performed by a registered builder <br />) Other (please specify) <br /> <br />REMARKS: adding one bedroom , converting one bedroom t~ office ~F_ <br /> <br /> PLEASE NOTE: Driveway ~nd sldewatk inspections are required by Public Works: 588-5036 <br /> Other permit~ required by this d~pt: Plumbing ~ Electrical <br /> <br /> <br />