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Appl, Reed: :~ZD~£SDAY <br />By; PATTY <br /> <br />6-15-83 <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 588-5373 ........... 8:00 A,M, <br /> <br />Permit NO, <br /> <br />Type of Permit: <br /> <br />SIGh PEri!IT FOR RV PAVd~, ~ <br /> <br />Tax Lot No: <br /> <br />40316-935 <br /> <br />%UROi.L% 97002 <br /> <br />Sec. 9 Twnshp. ~, Rge, 3 ,' <br /> <br />678-2646 Address: L~'~/~'~' ~- <br /> <br /> 675-2646 Address: ,, ~} :LNg <br /> <br />Plans by: Phone: Address: <br /> <br />Min Req. Fron~ Sides / J Rear / <br /> /0 /rD <br /> <br />Lot Ho,: ..... 61k. No.~ Sub dv, <br />Area of BId9, 2nd Bose- <br />Main Fir.- Fir,: ...... merit: .... <br /> <br />Roof Type: __ Truss/Stick: <br />Heating Wood Wafer <br />System: ............. Stove- ,, Supplp <br />Septic Tank New <br />Site Evah Instal .__ <br />Exist, No. <br />System:. Gals · <br /> <br />VALIDATIONS= <br /> <br /> Lot Size ........ Corner? <br />Total <br />Area- i~ X.!. 6 Valuation: .......... ~ I ~;.,,~ <br /> ~''/~ I'C~ BJdg. Permit ..[ .'005 <br /> .......... z ' ~ee: ( + <br /> <br />Zoning: ! J ~C'~"~ _~,.~ ~ Mechanical: <br /> <br /> "I "7 ~ - - <br />I agree to build occordlng to the submitted plans and specifications, the laws of the Stole <br />of Oregon and the Ordinances of Marion County. Permit expires if work not commenced <br />within ~ 80 days. I further expressly warrant that I comply with the provisions of ORS <br /> <br />70h005 to 701,125 because: <br />( ) I om performing work on a property I own or occupy <br />( ) I om a registered builder OR ( ) the authorized <br /> representative °f a reglstlr~ <br />REMARKS: ~'~'' ~.,Zl~'/~ '"~'-~'~ <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 />TOTAL FEE: <br /> <br />RECEIPT NO.: <br /> <br />( ) The work will be performed by a registered builder <br />( ) Other (please specify) <br /> <br />I h~ve reed this application in it~n~id certify that the stated' information is true and correct to the best of my knowl~ge. <br />SIGNATURE OF APPUCANT ,/~~~~~~ <br /> PLEASE NOTE: Driveway and sidewalk inspection~ are re~ Public Work~; 588-5036 <br /> Other permits required by this dept; PlUmbing ~ 61ectrical ~ <br /> <br /> <br />