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MARION COUNTY <br /> ., /~ DEPT, OF BUILDING INSPECTION <br /> ,~? ~ /~L//.,~,~ . 220 High St,,N,E, 2ndFIoor <br /> <br /> j/,~/._~/~.,.~/~..../~,~,.. Salem, Oregon 97301 <br />By.~ <br /> ,~/ 588-5147-588-8148 <br />Date; %~-~j~j~ - 5:00 P,M,- ........... CODE-A-Phone 588-5373 ........... 8:00 A.M, <br /> <br />Permit No, 53]. <br /> bot~ie <br /> <br />Date: 3/28/84 <br /> <br />Lot No.:_ BIk. No.: Sub dy. Lot Size Corner?.__ <br />Area of Bldg. 2nd Base- Total <br />Main Fir.: Fir,, ment: Area, Valuation:,,,, ,~.~ ~6'Pc-7, ~'"~'~' <br /> Bldg. Permit <br />Roof Type: Truss/Stick:. Fee: ( + 5%)- ~_ ~/,~', ~'2 <br />Heating Wood Water <br />System;.,, Stove: 5upply~ Elect, Fee: - <br />Septic Tank New <br />Site Eva/: instal · Mech. Fee: <br />Exist, No, <br />SyStem: Gals.t Plumb. Fee: -- <br /> <br />VALIDATIONS: <br />Zoning: <br />Dote: <br />Septic Tank: <br />Date: <br /> <br />Mechanical: <br />Date, ,,. , <br /> <br />I agree to build according to the submitted plans and specifications, the laws of the State <br />of Oregon and the Ordinances of Marion County. Permit expires if work not commenced <br />within 180 days. I further expressly warrant that I comply with the provisions of ORS <br />70 I. 005 to 701, ~ '25 because: <br />( ) I am performing work on a property I own or occupy <br />( ,~),t'~/m a registered builder OR ( ) the authorized <br /> representative of a registered builder <br /> <br />S,ate % ZZ <br />Surcharae: <br /> <br />Plans Chk. Fee:~. Il ~ <br />Septic Tank ~ ~z~.'~ ~ [ <br />Permit Fee: ........... <br /> <br /> DEQ Surcharge: <br /> <br /> RECEIPT NO,; ~ ~"~' <br />( ) The work will be performed by a registered builder <br />( ) Other.(please spec fy) <br /> <br />REMARKS:_ <br /> <br />I have read this appbbar/on in /tS entlretyan~at the stated informer/on is true and correct to the best of my knowledge. <br /> <br /> APPLICAN'~ _ ; · <br /> PLEAS~ : Driveway and sidewalk inspections are required by Public Works: 588-5036 <br /> Other permits required by this dept: Plumbing [] Electrical [-q <br /> <br /> <br />