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,.. Monday <br /> <br />By: <br /> <br />Oate: Sept. 11~ 78 <br /> <br /> IVI~,~HH.~I~I L;UUI~I I Y <br /> DEPT. OF BUILDING INSPECTION' <br /> Downtown Senator Building <br /> 220 High St., N.E. 2nd Floor <br /> Salem, Oregon 97301 <br />R.h, WITHROW. BLDG. ADMINISTRATOR <br />558-5147 - 588-5148 <br /> <br />~ <br /> <br /> '~lbert L. Bige~ <br />Owner: Phone: <br /> <br />Bldr, & No' B-e~g & £~ns Phone: <br />Plans by; Phone: <br /> <br /> 15520-20 <br /> _Tax Lot No; <br /> Sec. b l'Twnshp,__fL_Bge. <br /> 10323 Mill Creee}% Rd <br />Address: q7~_o <br /> <br />Address: <br /> <br />Address: <br /> <br />Lot No; __BIk. NO: Sub dy. <br /> <br /> well <br />Water Supply; <br />Sewage septic Feas. ~ <br />Disposal: Study: <br /> <br />Area of Bldg: 780 ~q ftN°'stories;. 1 <br /> <br /> no Roof comp <br />Basement: Type: <br /> <br />Heating oil <br />System: <br /> <br />yes 4-78-15 <br /> <br />Valuation; __ <br /> <br />Permit Fee: <br /> <br />State Surcharge: <br /> <br />Front2~-~ / Sides ~ / J ~---~ Rea¢ ¢ <br /> <br />Lot Size,'-~ ~-~-~g'~"~ Corner? <br /> <br /> 1,000.00 <br />$ <br /> <br />10.00 <br /> <br />BTU: <br /> <br />Plans Chk, Fee: <br />Septic Permit F~/_ <br />Total Fees: <br /> <br />.cpt. No; .5,/25 <br /> <br />I agree to build according to the'submittedj~lan$ a~d specifications, the law~ or__the State of Oregon and the Ordinance~ of Marion <br />Count. Permit expire, if work not~~ <br />SIGNATURE OF APPLICANT: ~/~~ ~ ~/~ J <br />VALIDATIONS; ~ ~ <br /> <br />COUNTY BLDG. INSPECTOR <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections ~re reqmre ' ~' ~588.6036 <br /> <br /> Other permits required by this dept: Plumbing [] Electrical ~] ', i .' .' <br /> <br /> <br />