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Appl, Recd,: City of A-~,~ville <br /> <br />By:. FC <br /> <br />Date: <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 /> <br /> 588-5147 -- 588-5148 <br />8-26-85 5:00 P.M ....................... CODE-A-Phone ...................... 8:00 A,M, <br /> <br />Permit No,: ,553 <br />By:. ~ttie <br />Date: 9/5/85 <br /> <br />Type of Permit: Addition to Admin, Offices <br /> <br />,Tax Lot No.' <br /> <br />Address: 572 N, llth Sec.: <br /> <br />, ,Twnshp.: ............ ~ge.: .......... <br /> <br />Owner~UmS. glementary School Phone; 749-2872 <br /> <br />Address: <br /> <br />Bldr, &I~es Home Remodeling #21236phone: 859-2320 <br /> <br />Addresg¢3757 Samtiam Way Lyons OR 973`58 <br /> <br />Plans by: __.Phone: <br /> Map Pa(~e ! Zone ~'one Change Part. Cond. Use <br /> <br /> Use of Bldg.: · NO. edrms. <br /> Offices, or Ccc. Ld.: <br /> <br /> Address: __ <br />Variance/Adi. FT/FD Occupancy Type of Const <br /> <br /> Min Req. Gront Sides Bear <br /> Setbacks: <br /> <br />Lot NO.: ....... BIk. NO.: Sub. dY,: <br />Area of Bldg, 2nd Base- Total <br />Main Fir.: 5].6 Fir.: ment:. ~rea: . -- <br /> <br />Root TyRe: Glass Truss/Stick' Height: <br />· Kxtensio~ of <br />Heating . . Wood Water <br />System;Exls ting Syste~ve: Supply; <br />Septic Tank New <br />Site Eval,; Instal.: <br />Exist. NO, <br />System: Gals,: <br /> <br />Lot Size: Corner? <br /> <br />VALIDATIONS: <br />Zoning: <br />Date: <br />Septic Tank: <br />Date: <br /> <br />Mechanical: <br />Date: <br /> <br />Dat e~// _ __. <br /> <br />I agree to build according tO the submitted plans and specifications, the lawa of the <br />State of Oregon and the Ordinances o! Marion County. PERMIT EXPIRES IF WORK <br />NO T COMMENCED WITHIN 180 DA YS. I f~rther expressly warrant that I comply with <br />the provisions of ORS 701.005 to 701.125 becau~, . <br /> <br /> am per,orm,ng wot* cna proparty, <br /> or occupy <br />(x) I am a registered builder OR ( ) the ( ~ Other~(please ~pecify) <br />authorized representative of <br />b / de¢ CCLJ, qTY <br /> <br />,51.~ Valuation:. 15700.00 <br /> Bidg, Permit 116. `50 <br /> 8ft. Fee: (+ 5%) <br /> <br />Elect, Fee: <br /> <br />Mech· Fee: <br /> <br />Plumb. Fee: <br />State `5% `5.83 i~! <br />Surcharge: (4%) 4.66 ~:¢~-~/ ~-/ <br /> <br />Plans Chk. Fee: /~'~. ~ ~ ~ <br />Septic Tank ~_¢- J ¢ <br />Permit Fee; ._ <br /> <br />DEQ Surcharge: <br /> <br />TOTAL FEE: __,~¢~:g~. ............... <br />BLDG. <br />RECEIPT NO,: 8634 <br />Driveway <br />Permit Fee: <br />Site Plan <br />Review Fee: <br />Public Works <br />Receipt No.: <br /> <br />REMARKS: Mr. VanLydegraf advised that the plans check fee had previously been paid <br /> ~y the person who drew the plans, llefe~ to~,~.,,gheck #75~by Francis Phe~lps <br /> <br />SIGNATURE OF APPLICANT' /"~L '~ ~~~//~~~~WA ~~~~/'~/ <br /> PLEASE NOT'E~ Drlvew~ and/walk inspectio~re~/b~ks: 588-5036 <br /> Other permits required by this clapt,: Plu~/B El¢ctrlcal ~ Mechanical B <br /> <br /> <br />