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Appl. R'cvd, DEPT. OF BUILDING INSPECTION Permit Number <br /> ..... 318o Center St., N.E. <br />By: ~m~ Salem. Oregon 97301 By: <br /> R.H. WITHROW, BLDG. ADMINISTRATOR <br /> <br />Date:April 22 1976 <br /> <br />Bldg. Permit: ..... .f,.g__~oeate a moh~tle home <br /> <br />Location Permit: <br /> <br />Address; Rt, 2 Box 190 Aurora City; <br /> <br />Owner: Edward .$~annon <br /> <br />Phone: <br /> <br />Bldr, & No.:, same Phone; Address: <br /> <br />Plans by: Phone: Address: ......... <br />Map/age [ ~(~e~ Zone cng. Part. Cond. Use Variance I Fire Zone Occupancy [ Typa of Cons[. <br /> Sides Rear <br /> <br /> Sewage one existin~Feas, <br />Lot No: BIk. No: Water Supply: well Disposal: septic Study? <br /> <br />Sub dy. Valuation: $ 15-00 <br /> <br />Size of Lot;. i01 acres Corner?,__ Permit Fee: .... <br /> <br />Area of Bldg: I~-I bedroom <br /> <br />Plans Chk. Fee; <br /> <br />No. of Stories: ,., o._.ne <br /> <br />State Surcharge: <br /> <br /> Basement; --- Septic Permit Fee: <br /> T pe o, .so,, --- To,a, Pees, 15 <br /> Rapt. No. ~/? ~ <br /> <br /> I agree to build according to the submittal plans end speclflcatlon~, the la~ of ~e S~a~ of Oregon and the Ordinances of Mar;on <br /> , County. Permit expires if work not com~encod w/~h/n ,20 ~ <br />~GNATURE OF APPLICANT:~c' ~¢ _ _ <br /> 'VALIDATIonS: <br /> <br /> REMARKS <br /> <br /> tO locate a mobile home - Mr Shannon w~ld l~ke tO u~e the existing ~y~tem ~f posslble~ <br /> <br /> if no~ he will install new eystem to serve the mobile home, <br />Mr ShannOn will have a retired man ,.~i~,i...n.9 in the mobile home-he will not be employeed by anyone <br />else. [~ewiII ~e on the property for securzty reasons <br /> <br />Other permits requlred by this dept: Plumbing <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: <br /> <br /> <br />