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Appl. Rl~vd! /'0-.')'~/~....~'~' <br />Date; <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTIO~ <br /> Downtown Senator ~uildi~9 <br /> 220 High St., N,E. 2nd Floor <br /> Salem. Oregon 97301 <br />R.~. WITHROW, BLDG. ADMINISTRATOR By: <br /> 588-5147 -- B88-6148 <br /> ..... <br /> <br />Type of Permit: <br /> <br />__Tax Lot No; <br /> <br />Address:/~J~/~t'5-~VZ~/~c'--~!'~L¢?~-/~~7~',' f~///%~ ~ ~ Sec Twnshp. Rge. <br /> . / ~ ~u~ ~'~ z~_ ~- ' <br />Owner:~.~'~ ~~Z~.~ Phone:~ ~O~ Address' ~ ~,~..7 //c~/.~,/ZZ~' <br />Bldr. & NO.~// ~'~t~ ~hone' ~' ~ Address' ~¢ ~'0~' .~ '~ ~/~M~'~..~ <br /> <br />Plansby; ,,~l'~/q~/)O,~ ~ ~?/]J.,I(L: Phone: ~;~2~? --~g_~ Address; ~,'2G ~'~ /~ ( /]Z~'~. <br /> Map Page Zone Zone Chg. Pa¢t. Cond. U~ Variance Fire Zone Occupancy Type of Con~. <br /> <br />U~ of Bldg,: Min Req. Fron~ Sides Rear <br /> <br />Lot No: .BJk. No: Sub dy. Lot Size Corner? <br /> <br />Water Supply: L~:'/"'2'~' ~,/ ~U--q~'~'~,,//,~_~~'- Valuation: $ ~,...'T~':~ <br />Sewage ~/~ ~'~ ~ -<-- Feas, <br /> <br />Basement; ~ Type: ~/~ Pl~nsChk,~ee~ , <br />Heat,n, '~ ~5~ ¢~ <br />System: ~/~C. .~ "~ ~ p <br /> <br /> Total Fees: <br /> <br /> Rcpt, No: <br /> <br />I agree to bui/d according to the submitted plans and specifications, the laws of the $~ate of Oregon and the Ordinances of Marion <br />County, Permit expires if work not commenced within 120 days. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> VALIDATIONS: <br />ZONING <br /> <br />S~ <br /> <br />Date: <br /> <br />SEPTIC TANK PLANS <br />Date: Date: //L-~'~ ~'~' <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 />