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MARION COUNTY 7 ~'- <br /> DEPT. OF BUILDING INSPECTION Permit Number <br /> 3180 Center St,, N.E. <br />By:: Salem, Oregon 97301 By: <br /> ,.,. W,TN,OW. B,D . <br /> <br />Monday <br /> Appl R'cvd. <br /> <br />Bidg, Permit:; to erect a e, ti[il:¥ sheR <br /> <br />Location Permit:: <br /> <br />Address;; Rt. ! Box 248 J Aurora <br />Owner;; Rm,~ld Jee Phone: t~o~e <br /> <br />Bldr, & NO.:: ~e Phone: ..... <br />Plans by Phone: <br /> <br /> City <br /> <br /> same <br /> <br />u~igdi,:: /~/.~ zone Chg. Fart.. cond,, Use <br /> Min Req, Front, Sides Rear <br /> Setbacks <br /> <br /> Sewage Feas.. <br />Lot No, Blk, No:. Water Supply:, Disposal: __ Study? <br /> <br />Sub dy, <br /> <br />Size of Lot:: , 4,57 acres <br /> <br />Corner?.__ <br /> <br />Valuation: ~; D~9~_~O <br />Permit Fee: 5.00 <br /> <br />Area of Bldg: 1~ x 12 <br /> <br />No of Stories:: __ <br /> <br />Plans Chk Fee:: <br /> <br />State Surcharge;, <br /> <br />.15¢ <br /> <br />Basement;: no Septic Permit Fee: <br />Type of Roof:: Total Fees;; <br /> <br />/ agree fO build accordi'r~g to the submitted plans and~pec, ificatJons, the Jaws of the State of Oregon and the Ordinances of Marion <br /> <br />SIGNATURE OF APPLICANT: ~~ ~ ~ <br /> <br />ZO~~~ SEPTIC TANK PLA <br /> ...EYi....~ ./ <br />Dar _ Date:: Date:: <br /> REMARKS <br /> ~o erect a u[[[[t~ <br /> <br />PLEASE NOTE:: Driveway and sidewalk inspections are required by Public Works:: 588-5036 <br /> Other permits required by this dept: Plumbing [] <br /> <br /> <br />