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, MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> ' =20 High St,, N.E. 2nd Floor Permit <br /> Salem, Oregon 97301 <br />By: ~[N R.i~. WITHROW, BLDG, ADMINISTRATOR By: <br /> 588-5147 - 588-5148 <br /> <br />Date: 1/6/77 Date: <br /> <br />Type of Permit: ~'EATD~C~] ~ ~T]~C TAJ'~ Tax Lot No; <br /> <br />Bidr. & No.; T.O~AT, ~ ~ Phone; Address; ~00~ <br /> <br />Plans by: ~ ~T~ Phone: Address: <br /> <br /> M,~e ~, Zone Chg. Part. Co nd. U~ variance Fire Zone Occupancy Type o, Const. <br /> <br />Use of Bldg.: Min R~. Front ~ /~des '" Rear/, <br /> <br />Sub dy. MAPLE LEAF LAEE ESTATES Lot Size ~,,_ Corner? <br /> <br /> Valuation: $30~00OO <br /> <br />Lot No: ~ BIk. No; 2 <br /> <br />Water Supply: <br />Sewage Feas. <br />Disposah ~,~,T, ~ Study; <br /> NO. <br />Area of Bldg; <br /> Roof <br />Basement: NO Type: <br /> <br />Heating <br />System:_ ~AR I~OI~C~D <br /> <br />BTU: <br /> <br />~O <br /> <br />Permit Fee: 115.50 <br />State Surcharge: ~'47 <br />Plans Chk. Fee: <br />Septic Permit Fee: ..... ~t./~(~ 25°00 <br />Total Fees: 3...~.~97 <br /> <br />Rcpt. No; .. ~4~ g (~)c:~-= -- <br /> <br />I agree to build according to the submitted p/aha and specificationa, the laws of ~he $~ata of Oregon and the Ordlnance~ of Marion <br />Country. Permit expires if work not commenced with/n 120 day~. <br /> <br />V~,LIDATIONS: · ~ <br /> . <br /> <br />Date: ~'~ Oat~: (~/~2~ ~' ~ Oat,: ,/_~/Z- 77 <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 />