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Permit - 1263514
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Permit - 1263514
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Last modified
2/1/2011 10:19:41 AM
Creation date
9/2/2003 12:46:44 PM
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Template:
Permits
Permit Address
8053 MILL CREEK RD SE
Permit City
Aumsville
Permit Type
Permit
Permit Site Number
2195
Permit Doc Type
Permit Document
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June <br />Appl. Revd; <br /> <br />By: C=~ <br /> <br /> MARION COUNTY <br /> DEFT. OF BUILDING INSPECTION <br /> Senator Building # 225 <br /> 220 High St., N.E, 2nd Floor <br /> Salem. Oregon 97301 <br />R.H. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 -- 588-5148 <br />5;00 P.M.- ........... CODE-A-Phone 588.5373 ........... 8:00 A,M. <br /> <br />By: ~ <br /> <br />Type of Permit: F~obi!e hozne loc' <br /> <br />Addressr ~..!~,:i'~ i,ii!.L Creek toq,~,, ,,,,,..$~. <br /> <br />Tax Lot No~ <br />Sec, ~',~ Twnshp. /¢ Rge,~ <br /> <br />Owner: Cfi on '8oocN <br />Bldr. & No,; <br /> <br />~-'~ , Phone: 749-1998 , Address: <br /> <br /> Phone: ~ Address: , <br /> <br />Plans by; phone: <br />Map Page .Z°ne Zone Chg. "Partl Coi~d. U~e <br /> <br />Use of Bldg.: No Ball'CAe. <br /> <br />Lot NO: BIk. No: Sub dy, <br /> <br />Address: <br /> <br />Water Supply: w~l! Valuation: <br /> <br />Sewage Site <br />Disposal: ..... ;::~ ¢- Eval: Permit Fee; <br /> No. <br />Area of Bldg; Stories: State Surcharge: <br /> Roof <br />Basement: Type: Plans Chi(. Fee: <br /> <br />Heating <br />System: Septic Permit Fee: <br /> <br /> ncpt. No: <br /> <br />V ALIDATIONS:x~ ~A~_ (~ <br />Da~o: <br /> <br />/ agree to build ~cord/~ to the submltt~ plans and ¢pecff/catlon~, the laws of the S~te of Or,on and the Or/dnances of Marion <br />County. Permit ¢xpire~ if work not commenc~ within 120 day~. I fu¢hter expressly warrant that / co~p/y with the provls/ons of ORS <br />701.~5 to 701.12~ because; <br />( ) lamar~ister~bu//deror( } ¢eauthoriz~representaEveofar~ister~bui/der <br />( ) The ~¢k Wfl/be p¢~ormed by a r~istered builder <br />( ) /amperformingworkonapropertylownoroccupy <br /> <br /> ......... <br />..................... , - __ <br />I have read this application in it~ entirety and certify that the stated information is true and correct to th~bE~o[ my ~o~1~ <br />SIGNATUREOFAPPUCANT:~ C) ~~_ ,_ ,,,,~ <br /> Other permits required by this dept: Plumbing ~ Electrical ~ ~ ~ ,,~7,/' .' <br /> <br /> <br />
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