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Appl, Reval: Jvk)~ 4 <br />By; <br /> <br /> ;~" eh. Z4~77 <br />Date; <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Downtown Senator Building <br /> 220 High St., N.E. 2nd Floor <br /> Salem, Oregon 97301 <br />R.~. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 -- 588-6148 <br /> <br />By: <br /> <br /> calf shed ~ res. <br />Type of Permit: <br /> <br /> ~t. 1 Box 215 a~ ~urora 97002 <br />Address: <br /> <br />Sylves~e~ PCdlicek Phone; 678-5709 <br /> <br /> ,Tax Lot No; <br /> Sec. __ <br /> <br />Address: <br /> <br />.Twnshp, RGe __ <br /> <br />Bldr. & No.:,,, Same Phone: ........ Address;_ <br /> <br /> Type of C~.~ <br />Occ,~9¢y ~ <br /> Sides [ Rear <br /> <br />Lot No: __BIk. No: Sub dy, , <br /> <br />Water Supply: Valuation; , <br />Sewage Fees. 5.00 <br />Disposal: Study; Permit Fee: <br /> <br /> No. .15 <br />Area of 81dg; ll x 16 Stories; State Surcharge: <br /> Roof <br />Basement; . Type: Plans Chk, Fee; <br />Heating <br />Systemt Septic Perrf~it Fee; <br /> <br /> 5.15 <br />BTU; Total Fees; <br /> 8862 <br /> Rcpt. No: <br /> <br />Lot Size 2 1/2 aC~o~ner.e~ ~ ............. <br /> <br />I agree to Duild according to the submitted/~p/ans and specifications, the law~ of the $~a~ of Oregon and the Ordinances of Marion <br /> <br /> ~ REMARKS ~ / <br /> / <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works; 588-5036 <br />Other permits required by this dept: Plumbing F-I Electrical [] <br /> <br /> <br />