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MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building # 225 /// ,~_. <br />Appl, Reval: 220 High St., N.E. 2nd Floor Permit No. <br />/~~ Salem, Oregon 97301 <br />By: R.H. WiTHROW, BLDG. ADMINISTRATOR By; ___,~' ~ <br /> ~ 588.5147 - 588-5148 <br /> <br />Plans by: ~-~- Phone: Address: <br /> Map Page Zone -l'~'~--Chg, P~rt, Cond. Use Variance Fire Zone ~'] Occupancy Type of Const. -- <br /> <br /> ~ NO Bdrr~s. Min Req, Front Sides Rear <br /> <br />Water Supply: ~ Valuation; . <br />Sewage f/7~-..,-'z(/ Site <br />Dispose[: ~- ~¢- --- Evah Permit Fee: <br /> No. <br />Area of Bldg: Z/-S '~ fY~Stories: I State Surcharge:~ <br />Basement; ~ ~ Roof ~ <br /> ..... Type: _. Plans Chk. Fee; <br />Heating <br />System; Septic Permit Fee: <br /> <br />BTU; Total Fees; <br /> <br />__ Lot Size ~' ~¢&¢'%4~b~Corner? ............ <br /> <br />R cpt, NO: ~ c:~j~ <br /> <br />I agree to build according to the submitted plans and ~pec/ficat/on$, the /ew~ of the State of Oregon and fhe Ordinances of Mar/on <br /> <br />County. Permit expires if work not commenced w/thin 120 daya, <br />SIGNATURE OF APPLICANT: ~~ <br />VALIDATIONS: · S/~ <br />ZONING SEPTIC TANK PLAN <br /> <br />Date: Date; Date: ,.¢~.~.,' <br /> REMARKS <br /> / <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: 588-5036 <br />Qther permits required by this dept: Plumbing [] Electrical [-] <br /> <br /> <br />