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Tuesday <br /> <br />AppL R'cvd. , - <br /> <br /> SR <br />By: ' <br /> <br /> 6/8/76 <br />Date; <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> 3180 Center st., N.E. <br /> Salem, Oregon 97301 <br />R.H. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 - 588-5148 <br /> <br />Permit Number <br /> <br />Bldg, Permit; <br /> <br />residential <br /> <br />Address: <br /> <br />Owner: <br /> <br />Dale Emery; <br /> <br /> ~31oedel Const, ~2638 <br /> <br />~ ~ '~Go If Club Road SE <br /> <br /> Phone: <br /> <br />Location Permit: <br /> <br />Address:. <br /> <br />Bldr. & No · <br /> <br />City <br /> <br /> 749-2959 <br />Phone; <br /> <br /> 8243 Golf Club Rd., Aumsville <br />Address:. <br /> <br />Plans by: <br /> <br />Terry Reames <br /> <br />Phone; <br /> <br />Mae Page Z~ne Zone Chg, Part, <br /> <br /> _. _ single f~qmily residence <br /> <br />Cond. Use <br /> <br />Lot No: Blk. No: <br /> <br /> Address: <br /> Tv~°~_f C/ost' <br /> I <br />Setbacks; '~1 <br /> <br />Water Supply:. well <br /> <br />Sewage Fees. <br />Disposal: sep%';_C ~cankStudy? <br /> <br />no <br /> <br />Sub dy. Valuation: $ 50,000-00 <br /> ~ acres 175.50 <br />Size of Lot; Corner?.__ Permit Fee; <br /> <br /> 2390 sq ft <br />Area of BJdg; Plans Chk. Fee: <br /> 1 5.27 <br />No. of Stories: State Surcharge:. <br /> <br /> no 50°00 <br />Basement; Septic Permit Fee: <br /> <br /> shake - ~tick frame <br />Type of Roof: Total Fees: <br /> <br />,77 <br /> <br />I agree re bu//d accord/rig to the aub.~littecl plans and spec/f/cations, the laws of the State of Oregon end the Ord/nances of Marion <br /> <br />SIGNATURE OF APPLICANT;~C~(/"~.~ ~ <br /> <br />VALIDATIONS: <br />ZONING ~'-~-. ~-~1,-~2' SEPT/~A~K <br /> <br /> REMARKS <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: <br /> Other permits required by this dept: Plumbing ~ <br /> <br />588-5036 <br /> <br /> <br />