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A~:~g, Revd;; i,~- <br />By; c1~ <br /> <br />Date: 12/~1/81 <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 AM. <br /> <br />By; <br /> <br /> Mobile Home REPLACFJ~T & Else. Connection Tax Lot No: __ <br />Type of Permit: <br /> <br />Address: 9367 SnO~ D.r~..~.e.) So E. Au~.~ville Sec. ~Twnshp. <br /> , Address: .... <br /> <br /> ?, ,.,,,~ <br />Bidr,, & No.: ~on~.er Mobile Home ~leSPhone: Address:~ Alb~ 0r~ <br /> <br />9 Rge 2W <br /> <br />Plans by: Phone: Address: <br /> Map Paa06~ ~o~,,.,,,] Zon.~h,. J ,.,,. J Oo.a.O. J W,,,~ J Fire Zone ] Occupancy <br /> <br />!~ot No;: ......... 81k. NO:; Sub dv. <br /> <br /> under 1 <br />Lot Size ~'~ <br /> <br />JType of Const. <br /> <br />Corner? <br /> <br />Water Supply: ~]cl]. <br />Sewage ~er0t~ Site <br />Disposah -' Evah <br /> <br /> 60 z 24 No, <br />Area of Bids; Stories;., <br /> Roof <br />Basement; Type: <br /> <br />Heating <br />System; ~i'orcec~ Aim Elco, <br /> <br />BTU: __ <br /> <br />Valuation: __~ <br />Permit Fee: 50,00 <br /> <br />State Surch aras: ~ · <br /> O0 <br /> <br />Plans Chk. Fee;; <br />Septic Permit Fee: ~0.00 <br /> <br />Total Fees:_ !07.00 <br /> <br />ZONING ~/) ~} SI=PTI PLANS <br /> <br />I agree to build according to the submitted plans and spec/ficatMn$, the Jaws of the State of Ore~o~ and the Ozldnances of Mar/on <br />County. Permit expires if work not commenc~ withi~ 120 days. I furhter expressly warrant that I comply with the prowsions of ORS <br />701005 ~o 701. 125 because: <br /> <br />( ) /amar~iS~eredbuilderor( ) theauthorMedrepre~ntativeof~r~f5ter~bu~lder <br />( ) The work wffl be pe~form~ by a r~i$tered builder <br />( J I ~ peffoft~ wo[k off a prope~y I own o~ occupy <br />( ) Other (please m~i~y) <br /> <br />REMARKS- Previous o~er put new mobile b~e on this orooertv <br /> <br />,~[3~,~_Eo err six aa ' ' ' ' ~?'}~11~ permi <br />He said he just didn't think about a permit. Dottle <br />Storin~_~ 1~ ~ AD tr~l~r ~n p~np~r~y ~r Mother - iJ;_i~ ~or sale .... <br /> <br />I have read this app/ication in its entirety and certify that the stated information is true and correct to the best of my knowledge. <br />SIGNATURE OF APPLICANT;; .~~ J ~~--~ <br /> PLEASE NOTE: Driveway and sidewalk inspections are required by Pubic Works: 588-5036 <br /> Other permits required by this clapt: Plumbing ~ Electrical~ <br /> <br /> <br />