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1,~ ~D o <br />Appl. Reval; <br /> <br />Date: 2-17-82 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING iNSPECTION <br /> Senator Building ~ 225 <br /> 220 High St., N.E. 2nd Floor <br /> Salem, Oregon 97301 <br /> <br /> 588-5147 - 588-5148 <br />5;00 P.M.- ........... CODE-A-Phone 588-537:3 ........... 8:00 A,M, <br /> <br />Permit No .... <br /> <br />Type of Permit; ~D~7...~X~ GO~E~C~AL TRUCY_ ~D~TR ~{.Q.P__Tax Lot No; <br /> <br />Address: ~ ~ Z . 7,~.}:. DONqT,D <br />Owner; J,C(~ Pho~:~ <br /> <br />Plans by: DON _C:, ~ Phone: <br /> <br /> Sec. Twnshp. Rge <br /> <br />Address; 12704 EMLEN RD N~ 97002 <br /> <br />Address;__ RT] BOX 368A HUBBARD 97032 <br />Address; <br /> <br />4 ~U <br /> TRUCK REPAIR <br /> <br />10 emu <br /> <br />Fire Zone Occupancy Type of Coost, <br /> <br />Lot NO: .BIk. No; Sub dy. <br /> <br />Water Supply; <br />Sewage <br /> <br />Area of 8ldg: <br /> <br /> Site <br />~--~;m~ Eval: <br /> 60 x 107 No. <br /> Stor{es; <br /> <br /> Roof <br /> <br />80-S12 <br /> <br />Valuation; <br />Permit Fee:., 363.70 <br /> <br />State Surcharge: 14~ <br /> 55 <br /> <br /> Lot Size Corner? <br />$ 90~000.00 <br /> <br />236.41 <br /> <br />Heating <br /> <br />BTU: <br /> <br />Type: <br /> <br />Plans Chk. Fee: <br /> <br />Septic Permit..Fee: <br /> <br />VALIDATIONS: <br />ZONING SEPTIC TANK PLANS <br />_B~ By: <br /> <br />/ agree to bul/d according to the submitted p/an5 and ~p~/flcatlon~, the /a~ of ~e State of Oregon and ~e Oridnance~ of MaWOn <br />County, Permit ex~ire~ if work not commenced within 1~ days, I furhter expressly warrant that I comply wiN~ the provisions of ORS <br />701.~5 ~o 701, 125 because; <br /> <br />( ) lamar~ister~bu/Ideror( ) theauthoriz~repremnta~iveofar~ister~bugder <br />( ) Thewo~kwi/Ibepedorm~byar~Nteredbuilder <br />( ) I am performi~ ~rk on a prope~y I own or occupy <br /> <br />REMARKS: <br /> <br />I have read this application M its entirety ~/~certify that the stated inforxmatio~ is true and correct to the best of my'knowledge, <br />SIGNATURE OF APPLICANT:.~~~/~//~ <br /> PLEASE N(~(-IE~Dr/iFa,/-and sidewalk inspections a;e r;quirec~ by Public Works: 588-5036 <br /> Other permits required by this dept: Plumbing [] Electrical [] <br /> <br /> <br />