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Appl. Revd;; l~onday <br /> <br /> =pril. !0,78 <br />Date: <br /> <br /> IVIAHIL)I~ UUUN I Y <br /> DEPT. OF BUILDING INSPECTION <br /> Downtown Senator Building <br /> 220 High Bt,,, N.E. 2nd Floor <br /> Salem, Oregon 97301 <br />R.H. WITRROW, BLDG. ADMINISTRATOR <br />588-5147 -- 588-5148 <br /> <br />By: ~..~ ..... <br />Dete: O d <br /> <br />Type of Permit:: iins%~l~]tion in ceilir~g <br /> <br /> 9948 Stay,on Rd. Aumsville~ <br />Address: <br /> <br /> Nail Dic!cman <br />Owner: <br /> <br />Phone;;_ 769Q5468 Address: <br /> <br />Tax Lot No; <br />Bec .... Twnshp. <br /> <br />Rge ..... <br /> <br />Bldr & NO.:: <br /> <br />Phone:. I Address; <br /> <br />Plans by:: <br /> <br />Zone Chgi, <br /> <br /> Phone: Address: <br />Part] Cond. Use Variance I t~ire Zone ] Occupancy Type of Const <br /> <br /> ' Sides Rear <br /> <br />Min Req, Front <br /> <br />Setbacks: <br /> <br />Lot No: BIk. No:: Sub dy,, <br /> <br />Water Supply; we 11 Valuation; $ <br />Sewage Feas. <br />Disposal: septoc Study: ......... Permit Fee: <br /> No. <br />Area of Bldg: Stories:. State Surcharge: __ <br /> Roof <br />Basement;; Type: Plans Chk, Fee; <br />Heating <br />System; __ Septic Permit Fee; <br /> <br />Lot Size Corner? <br />5.00 <br /> <br />BTU:; <br /> <br />Total Fees: <br /> <br />Rcpt. No: <br /> <br />I agree to build accordin~ to the submitted plans and apec~t/on$, ~he /~ws of the State of Oregon~and the ~dmances of Marion <br /> <br />VALIDATIONS:: <br />ZONING SEPTIC TANK PLANS <br /> <br />PLEASE NOI <br /> <br />REMARKS <br /> <br />MARION COUNTY BLDG. INSPECTOR <br /> <br />Other permits required by this dept: Plumbing [] Electrical <br /> <br />588-5036 <br /> <br /> <br />