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Date: ~.7~2~'~79 <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 />R.H. W/THROW, BLDG. ADMINISTRATOR <br />588-5147 -- 588-5148 <br /> <br />Type of Permit: ;;in !'.~ £amiLy <br /> <br />Address:. <br /> <br /> Dante! <br /> <br />Tax Lot No: <br /> <br /> Z4 <br />Sec. ~ <br /> <br /> Vcrn ~Vall <br />Owner: Phone: <br /> <br />Bldr. - '- ~''' t¢~'e~ee L[ome~8469 Phone: <br />Plans by: ~e~t ' ' ' <br /> <br /> 8s ~w <br /> ~ Twnshp. .~ 9e ..... <br /> <br /> ..... Address: <br /> <br />362-5945 6333 Sunny'view :{d. N. E. <br /> Address:__ <br /> <br /> Address: <br /> <br />Single fa ~ily <br /> <br />den <br /> <br />Lot No: __ _Blk. No: Sub dy, <br /> <br />Lot Size 3 ~or' -' no <br /> : ~Corner? __ <br /> <br />Water Supply: ~Wel]_ Valuation: _ $ 50,?OOtO0 ,, <br />Sewage s0 >tic Site ~-78-19 175.50 <br />Disposal:. ,, ~ Eva[: Permit Fee: . <br /> <br /> NO. <br />Area of Bldg: 2143 Stories; ]' __ State Surcharge; 7,,02 <br /> <br /> ~o Roof ~&[e~ ~T~ · <br />Sasement; Type; Plans Chk, Fee; <br /> <br />Heating Electric hea~ pump, wood ~tove <br />System: Septic Permit Fee: ~ <br /> <br />BTU; Total Fees; 220.02 <br /> <br /> Rept. No: ~-'- <br />SIGNATURE OF APPLICANT:~ ~~ J [ _ <br /> <br />VALIDATIONS: <br /> <br />SEPTIC TANK <br /> <br /> PLANS <br /> <br />REMARKS <br /> <br />PLEASE NOTE; Driveway and sidewalk inspections are required by Public Works; 588-6036 <br />Other permits required by this dept: Plumbing L-~ Electrical L~ <br /> <br /> <br />