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Appl, Rood' <br /> <br />By: Chris <br /> <br />Date: 9-8-86 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building #225 <br /> 220 High St,, N.Z. 2nd Floor <br /> Salem, Oregon 97301 <br /> <br /> 588-5147 -- 588-5148 <br />5:00 P.M ....................... CODE-A-Phone ...................... 8;00 A.M. <br /> <br />Permit No.: 86-1010 <br /> ELECo ~3607 <br /> <br />By: <br /> <br /> 10-1-86 <br />Date: <br /> <br />Type of Permit: <br /> <br />Address; 2Z[~Q DoTores Way N~ <br /> 2nd ReSidbnce <br />Owner: Jack Isbe~ <br /> <br />Bldr. & No,: self <br /> <br />Plans by: <br /> <br />Mobile Home placement & acleGuacy <br /> <br /> Aurora . Sec,: 9 <br /> Phone: 678-2646 ('~ddress: <br /> Phone: Address; <br /> Phone:. Address: <br /> <br />SeDti¢ Tax Lot No.; __ <br /> <br /> Twnshp,: 4 Rge'lW <br /> <br /> same 97002 <br /> <br />MapPage I Zone I ZoneChange I Part. OOl3d, Use. Variance/Adj. <br /> <br />Lot NO.: B[k. No,: Sub. dy,: <br />Area of Bldg, 2nd Base- <br />Main Fir.: .Fir,: merit: <br /> <br />Total <br />Area: ~'i ngle <br /> <br />Roof Type; Truss/Stick: Height; <br />Heating Wood Water <br />System: ~';!,eC Stove: no _Supply; Pe~k Water <br /> <br />Septic Tank New <br />Site Eval.: _, Instal,: <br />Exist, Park sewer NO. <br />System: Gals,: <br /> <br />VALIDATIONS; <br />Zoning: <br />Date: ..~-.J .7 <br />Septic Tank: <br /> <br /> ~antcal; Fleet <br /> <br />Date: _Date: <br /> <br />/ agree to build according to the submitted plans and specifications, the laws of the <br />State of Oregon and the Ordinances of Marion County. PERMIT EXPIRES IF WORK <br />NO T COMMENCED WITHIN 180 DA YS, I further expressly warrant that / comply with <br />the provisions of ORS 701.005 to 701.125 because: <br /> <br />( ) I am performing work on a property I own <br /> or occupy <br />( ) I am a registered builder OR ( ) the <br /> authorized representative of a <br /> registered builder <br /> <br />( ) The work will be performed <br /> by a registered builder <br />( ) Other (please specify) <br /> <br />Lot Size: 5 ac Corner?. <br /> <br />Valuation: <br />SIdg. Permit <br />Fee: (+ 5%) <br /> <br />Elect. Fee: ~0.00 - con <br /> <br />Mech. Fee: <br /> <br />Plumb. Fee; <br />State <br />~utlroharge:" {4%) 1~¢0 <br /> rcharge.,, <br />Plans Chk. Fee: <br />Septic Tank ~~_.~ ~r <br />Permit Fee; <br /> <br />DEQ Surcharge: ~ <br />TOTAL FEE: 159.}1 , <br /> <br />RECEIPT NO,: .... <br />Driveway <br />Permit Fee: __ <br />Site Plan <br /> <br />Public Works <br />Receipt NO,; <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 knowledge. <br /> <br />SIGNATURE OF APPLICANT: <br /> PLEASE NOTE;J3-~Y~way and sidewalk~pection are required by Public Works: 588-5036 <br /> Other permits required by this~feptJ Plumbing [] Electrical <br /> <br /> <br />