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APPl. Revd: ~ <br /> <br />By: ("~,~J~ ,'~ <br /> <br />~ .B.,.. 1979 <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 />R.H. WITRROW, BLDG. ADMINISTRATOR <br />588-5147 -- 588-5148 <br /> <br />Type of Permit; <br />Address: 13222 -¢~3f--5~4~ WAy <br /> <br />Owner: LES I"L~S Phone: 223 7702 Address: <br />Bldr. & No.: ¢/8968 Phone: Address; <br /> <br />Permit No.7_~ <br /> <br />By: ,~,~ <br />Date; ~;~-- /-.S~ -- 27 <br /> <br />Tax Lot No: <br /> <br />Sec. Twnshp, __Rge, <br /> <br /> z~72 SE ATilT ~ <br /> <br />Plans by: z~ D~.~T(~ Phone; Address: <br />Map Page Zone [ Zone Chg, Pert, Cond. Use Variance J Fire Zone Occupancy Type of Const. <br /> <br /> ?fa 2 L~r~qOOD ~$%~TE5 <br />Lot No: __ BIk. NO: S~b de. , Eot She .......... Corner? no <br /> <br />Water Supply; ~ Valuation: .... <br />Sewage Site <br />Disposal: (/~t?'~ EvaE Permit Fee; <br /> <br /> 1094 No. <br />Area of Bldg: Stories: 1 State Surcharge: <br /> <br /> Roof <br />Basement; L Type: ~ Plans Chk. Fee: <br />Heating <br />System: <br /> <br />$ 45,000°00 <br /> <br />__ '"q NN <br /> <br />Septic Permit Fee; <br /> <br />BTU; Total Fees: <br /> <br />Rapt. No: <br /> <br />I agree ro build accord/n~l to the submitted plans and spec/f/cations, the ~awe of the State of Oregon and the Ordinence~ of Marion <br /> <br />SIGNATURE OF APPLICANT: 7=~t~"-~.~_~ ~ <br />VALIDATIONS: ~ <br />ZONING ,~ SEPTIC TANK PLANS <br /> <br /> REMARKS <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: 588-5036 <br />Other permits required by this dept; Plumbing [] Electrical [] <br /> <br /> <br />