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3-24-86 <br />Date: <br /> <br />5:00 P.M ........... 8:00 A.M. <br /> <br />Type of Permit: <br /> <br />RELOCATED HOUSE <br /> <br />Address; <br />Owner: <br /> <br />9914 [~ILL CREEK RD SE <br /> <br />F~NIE WATSON <br /> <br />AUMSVII~,E Sec.: <br /> 749-2303 <br /> <br />...... Phone:_ <br /> <br />BLDG+ #86~258 <br />ELEC. #2700 <br />PLBG. #20214 <br />PermitNo- <br /> <br />Date: 4-7-86 <br /> <br /> ,Tax Lot NO ' <br /> <br /> SAN~E 97325 <br />Address: <br /> <br />Bldr. & No,: BERG & SONS Phone; Address: <br /> <br />Plans by: .Phone; Address: <br /> Zo/~e ........ Zone Change Part. Cored, Use Variance/Adi. FY/FD Occupancy Type of Const, <br /> I , ' <br /> NO. Bdrms. ~X 2 I Min Reel, Front ........ Sides Sear <br /> 10 <br /> <br />Use of Sldg,: <br /> <br />RESZDENC~ <br /> <br />Lot No.:__BIk. No.: Sub, dy.: Lot Size: 100xlT0 Corner?. NO <br /> <br />Area of Bldg. 2nd BaseL Total <br />Main Fir,; Fir.: .~...-..-.-~ent: Area: 816 sq f~'Valuation: 3~000.00 <br /> <br /> Bldg. Permit 38.50 <br />Roof Type: Truss/$tick:.~__.__.~J-leight:. Fee: (+ 5%) "1"93 <br />Heating GAS WALL F.~m,¢.~ Water <br />System: ____: .Supply: W~;.~ Elect, Fee: 20,00 <br /> <br />Septic Tank New <br />Site Eval.: _Instal.: Mech. Fee:, <br />Exist, No. <br />System; YES Gals.; 750 ~allons Plumb, Fee:__ 20.00 ~ fee <br /> ~ State <br /> Surcharge:_,,,(,4,%) 3.14 <br /> 7.68 fl <br /> ee <br /> 25.03 <br /> <br />Oete:_~"~ :::Z,,.G-~C~~ Oate- <br />sebt,e Tan I>. P.an;: <br /> <br />I agree to build according to the aubmitted 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 TS. I further expressly warrant that I comply with <br />the previsions of ORS 701.005 to 701.125 because: <br /> <br />( ) I am performing work on a property I own <br /> or occupy <br />( ) I am a registered builder OR ( ) the <br /> authorized representative of a <br /> registered builder <br /> <br />( ) The work will be performed <br /> by a regiatered builder <br />( ) Other (please specify) <br /> <br />Plans Chk. Fee: __ <br />Septic Tank <br />Permit Fee: <br /> <br />DEQ Surcharge: <br /> <br />~0o00 <br /> <br />TOTAL FEE: <br />B'DG. <br />RECEIPT NO.: <br />Driveway <br />Permit Fee: <br />Site Plan <br />Review Fee' <br />Public Works <br />Receipt No.: <br /> <br />I have read this application in its en/~ty and certify that the stated information ia true and correct to the best of my knowledge. <br /> <br /> PLEASE NOTE: Driveway and sidewalk inspection are required by Public Works: 588-5036 <br /> Other permits required by this dept,; Plumbing m Electrical rq Mechanical [] <br /> <br /> <br />