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Date; <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION' <br /> Downtown Senator Building <br /> 220 High St., N.E. 2nd Floor <br /> Salem, Oregon 97301 <br />R.i~. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 - 588-5148 <br /> <br />~/ <br /> <br />Type of Permit: g~/~/¢~- J~¢//¢/~¢ ,~/-*- <br /> <br />Tax Lot No: <br /> <br /> / <br />Plans by; <br />Map Page i ~e Zone Chg. <br /> L <br />Use of Bldg.: · <br /> <br /> sec. <br /> <br /> Phone: Address; <br /> Par~. Cond, U~ Variance Fire Zone OI :cupancy [ Type of Const. <br /> <br /> Min Req, From <br />Lot No: ~Blk. No: ,/~ ,, S,bdv.~'~~*~ Lo, Size <br /> <br />Water Supply: (~¢'f~VI Valuation: $ <br /> <br />Disposal: ~Study; Permit Fee: <br /> <br /> No. <br />Area of BIdg: -~z~*~:)O Stories:~) ~J~OO~5 , State Surcharge: J- <br /> Roof <br />Basement: Type: Plans Chk. Fee: <br /> <br />System; Septic Permit Fee: <br />BTU: Total Fees: ~-~c' , C~ ~_~b <br /> <br />Rcpt. No: <br /> <br />I agree to build according to thespians ~on~, the law~ of the State of Oregon and the Ordinances of Marion <br /> <br />SIGNATURE OF APPLIC T: ~ <br />VALIDATIONS: £ <br />ZONIN~ ~ SEPTIC TANK PLANS <br />~ Date: Date: <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 />