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Appl, Recd.: <br /> <br /> ~,:hri s <br />By: <br /> <br /> 1~27-86 <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 />5:00 P.M ....................... CODE-A-Phone ...................... 8:00 A.M. <br /> <br />Permit NO,: <br /> <br />By: <br /> <br />Date: <br /> <br />1-29-86 <br /> <br />Type of Permit: R~sidence addition - Hobby & Storage areas Tax Lot No,:_ <br /> <br /> Aum~ville ec~c': .Twnshp.; <br />Address; 10772 Leverman Rd. SE 32 <br /> <br />Owner; Vivian P. ;filson Phone: 749-1319%~ddress, same <br />Bldr. & No,: same Phone' Address: <br /> <br />8 lw <br /> _Rge,: __ <br /> <br />Plans by: Phone: Address; <br /> <br />48 AR <br /> Sse°f Sldgm~b~/';~- & storage area orDer, Lo,;{ Setbacks: <br /> <br />Lot NO,: ,,BIk, NO,:. <br />Area of Bldg, 2nd <br />Main Fir.: 144.0 .Fir,: , <br /> <br />Roof Type:. <br />Heating <br />System: <br />Septic Tank <br />Site Eval.; , <br />Exist. <br /> <br />Wood <br />Stove: <br /> <br /> Sub. dy.: Lot Size:. 5 acre,;Drear? no <br />8asa- Total <br />ment: Area: 1440 Valuation: 21 ~ 600. Of) <br /> %'~ ~ Bldg. Permit 1~2.50 7.63 <br />Truss/Stick: Height; ,~, Fee: (+ 5%) <br /> Water ~/k[ ~! <br /> Supply:__;--0 . Erect, Fee: <br /> New <br /> Instal,: Mech, Fee: <br /> <br />No, <br /> <br />System: ~ GaPs,: <br /> <br />zVoAnLiIn%'~TIONS: ~-~n~, <br />Date: /- 2--~ <br />Septic Tank: Plans: / <br />Date: __Date: -~'- <br /> <br />I agree to build according to the submitted plans and specifications, the laws of the <br />State of Oregon and the Ordinances of Marion County, PERMIT EXPIRES IF WORK <br />NO T COMMENCED WITHIN 180 DA YS. I further expressly warrant that I comply with <br />the provisions of ORS 701.005 to 701,125 because: <br /> <br />( ) I am performing work on a property I own <br /> or occupy <br />( ) I sm a registered builder OR ( ) the <br /> authorized representative of a <br /> registered builder <br /> <br />( ) The work will be performed <br /> by a registered builder <br />( ) Other (please specify) <br /> <br />Plumb, Fee; <br />State <br />Surcharge: (4%) <br /> <br />Plans Chk, Fee: <br />Septic Tank <br />Permit Fee: <br /> <br /> 6.10 <br />99.13 <br /> <br /> not a hor~e occupation. <br />REMARKS: ..... <br /> <br />I have read this application in its entirety and certify that the stated information i$ true and correct to the best of my ~nowledge, <br /> <br />SIGNATURE OF APPLICANT: ..... <br /> PLEASE NOTE: Driveway and sidewalk inspection are required by Public Works: 588-5036 <br /> <br /> Other permit~ required by this dept.: Plumbing <br /> <br />DEQ Surcharge: , <br />TOTAL FEE: 265.35 <br /> <br />Driveway <br />Permit Fee: <br />Site Plan <br />Review Fee; <br />Public Works <br />Receipt No.: <br /> <br /> <br />