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Appl, Reed: TUESDAY <br />By: PATTY <br />Date: 2-14-84 <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 588-5373 ........... 8:00 A.M. <br /> <br />Permit No, <br /> <br /> Type of Permit: MOBILE HOME PLAC]~T .:r'.~/,~. Tax Lot No: <br /> Address: ..... ~83'1 ?T.LAGE VI~'. CT SE ALq~SVIT'T'~' 97325 ...... Sec. <br /> <br />Owner: L~II MI~I~ Phone: 362-6185 Address:, <br /> Bldr. & No.: W~TE~ LIVING Phone: Add~ <br /> <br />Twnshp. 8 Rge. lw <br /> <br /> Plans by: Phone: Address: <br />~Map Page,~'~15" ] ~ Zone Zone Chg, I Part. I Cond. U~e I Variance I FireTone [ Occupancy Type of Con~. <br /> <br /> No Bdrms. Min Re(t, Frorlt Sides <br /> <br />~ESlDENCE <br /> <br />Rear <br /> <br />Lot No.: .... BIk, No.: Sub dy. <br />Area of Bldg. 2nd Base- Total <br />Main Fir., Fir.:__ ment; Area:~ <br /> <br />Roof Type: Truss/Stick, <br />Heating Wood Water <br />System: Stove:__ Supply:~ <br />Septic Tank New <br />Site Eval: ........... Instal + <br />Exist. No. <br />System~ YF~ Gals.: ..... 9C~ ~AT.T.ON <br /> <br />VALIDATIONS: <br />Zoning: -- /3 ~ Mechanical: <br />Dote:. ~ - Dote: <br />Septic Tank:Ii ~/%._~_ / ~'--~ Plans: <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 ; 80 days. I further expressly warrant that I comply with the provisions of ORS <br />701.005 to 70 I. 125 because: <br /> ) I am performing work on a property I own or occupy <br />( <br /> <br />Lot Size ~ AC Corner? NO <br /> <br />Vnluotion; <br />Bldg. Permit ~0e00 <br />Fee: ( + 5%) 2.50 <br /> <br />Elect, Fee: <br /> <br />Math. Fee=__ <br /> <br />Plumb. Fee, <br />State <br />Surcharge=. <br /> <br />Plans Chk. Fee, <br />Septic Tank <br />Permit Fee:__ <br /> <br />DEQ Surcharge: <br /> <br />TOTAL FEE, <br /> <br />RECEIPT NO,t <br /> <br />) I am a registered builder OR ( ) the authorized <br /> representative of a registered builder <br /> <br /> 2.00 <br /> <br />50 · O0 <br />5.00 <br /> <br />( ) The work will be performed by a registered builder <br />( ) Other (please specify) <br /> <br />REMARKS: <br /> <br />I have re~d this application in its entirety and certify that the stated information /$ true and correct to the best of my knowledge, <br /> <br /> PLEASE NOT'al;away and sidewalk ins;ctions are ~d by Public Works; 588-5036 Othe~ permits requ[~ed by this dept: Plumbing ~ Electrical ~ <br /> <br /> <br />