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MARION COUNTY <br />.... DEPT. OF BUILDING INSPECTION <br />....... Senator Bui,ding #225 ~v'~ --.~"~ <br />Appl. Revd: Wednesday 220 High St., N.E. 2nd Floor Permit.No. <br /> ~lem, Oregon g7301 <br /> By: <br /> <br />Date: 4/7/82 5:00 P.M.- ........... CODE-A-Phone 588-5373 ........... 8:00 A.M. Dat <br /> <br /> ~ Recreati,:,~ ROOm <br />Type of Permit: <br /> <br />Address: <br /> <br />Owner; <br /> <br />bldr, & NO.: <br /> <br /> , Ta~.No: <br /> %e. ,,Twnshp.__.Rge <br />Phone: 579~2101 Address:. 12704 ghlen ~oaci~ N. ~. 9700~ <br /> <br />Phone: Address; <br /> <br />Phone; Address: <br /> <br />Use of <br /> <br />Lot No: <br /> <br /> .BIk. No: -- . Sub dv. <br /> <br /> well 100,000. <br />Water Supply; Valuation: <br /> <br />Sewage Site '3~: t,:! OLt~ 390.70 <br />Disposal:_ Evah Permit Fee; <br /> <br /> 2500 scI f~ No. .~ 15.53 <br />Area of BJdg: Stories; - State Surcharge: <br /> <br /> no Roof ::~h,-:!;e - truss/stick PlansChk. Fee: 253.96 <br />Basement: Type: <br /> <br />Heating Wle¢. heat !,lJm~ <br />System: __ Septlc Permit Fee; <br /> <br />BTU: Total Fees: 660.29 <br /> <br />Lot Size 26 Acres Corner? t .... <br /> <br />VALIDATIO ~IS: <br />ZONING /~0 , SEPTICTANK PLANS ~ <br /> <br />I agree to build according re the submitted plans and ~ification$, Ce laws of the State of Or. on and ¢e Orldnance~ of Marion <br />County. Permit expires if work not commenc~ within 120 days. I furhter expre~y warrant Oat I comply with the proviaions of ORS <br />701.~ to 701, 125 because: <br />( ) lamar~ister~builderor( ) theauthorizedrepresentativeofar~i$ter~builder <br />( ) The ~rk will be pedorm~ by a r~istered builder <br />( ) I am performi~ work on a property I own or occupy <br />( ) Other (please ~ify) <br /> <br />REMARKS: <br /> <br /> <br />