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MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senato¢ Building # 225 <br /> /~P <br /> Reed: 220 ,i h N,E. .o. <br /> Oregon <br /> 97301 <br />~V: Dottle ay: /~ <br /> ~-814~ -- ~8~145 <br />Date: [[/28/~ 5:00 P.M,- ........... COQE-A.Phone 588-5373 ........... 8:00 A.M. .... Date: /~/- ~ <br /> ~r~e & Stor~e .buildi~ T~x Lo: No: 4~69-000 <br />Type of Permit: __ <br /> <br /> Rich ~aene~ 678~1540 s~e <br />Owner: ~ ~ Phone: ~dmss: <br /> <br />Phone: Address: <br />Phone: Address: <br /> <br />B{dr. & No - <br /> <br />Plans by: <br /> <br /> garage & starve Mi.... ~ <br />Lot No.: ..... Blk. No.:~, Sub dy. Lot Size 70 Acre~ornet?. <br />Ar~ of Bldg. 2nd Base- Total <br />Main FIr.~ , Fl~,t ,,, menh Areo~ 880 s~ft. Valuation= ,, 7~ <br /> concret ~oor 12' 7" high to pitch BiOg. Permit 62,65 <br /> Truss/Stick~ t~S8 ~e= ( + 5%) · <br /> Water <br /> Supply: ,,, Elect. Fee: ~O~e <br /> <br />Roof Type: co~p <br />Heating Wood <br />System~ __ Stove: <br />Septic Tank New <br />Site Eval= ..... <br />Exist. No. <br />System~ ............ <br /> <br />VALIDATIONS: <br />Zoning~Mechonical; <br />Date= Date:~ <br /> <br />Date: ____ Date~J ./-~/.---,..-/ ~ <br /> <br />Mech. Fee: , , <br /> <br />Plumb, Fee: <br />State <br />Surcharge:_ 2.51 <br /> <br />Plans Chk, Fee: <br />Septic Tank <br />PermltFee: ......... <br /> <br />I agree to build according to the submitted plans and specifications, the laws of the State DEQ Surcharge:.__ <br />of Oregon and the Ordinances of Marion County. Permit expires if work not commenced <br />within 180 days. I further expressly warrant that I comply with the provisions of ORS TOTAL FEE:--- "IOC~.Op <br /> <br />701,005 to 701. 125 because: <br />( ) I am performing work on a property I own or occupy RECEIPT NO.: , ,--~'~/~'~ <br />( ) I am a registered builder OR ( ) the authorized ( ) The work will be performed by a registered builder <br /> representative of o regish~red builder ( ) Other (please specify) <br /> <br />REMARKS; <br /> <br />I have read this application in its entirety and certify that the stated information is true and correct to the best of my knowled[te. <br /> <br /> PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: 588-5036 <br /> Other permits required by this dept; Plumbing [] Electrical [~ <br /> <br /> <br />