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By: dm <br />Date: 9 /! -~J/$1 <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 />Type of Permit: <br /> <br />Address: <br /> <br /> Aums v ill e <br />$18_5 Anderson Ro ~ S.E. Parcel ~3 <br /> <br />Bldr. & No ' <br /> <br />Phone: ~ ~ ~x,.v~. <br />Phone: <br /> <br /> .Tax Lot No; <br /> Sec. "P~ Twnshp ........ ~ Rge, <br /> <br />Address: <br /> Anmsville <br /> <br />Address: <br /> <br />Plans by: Phone: Address; <br /> <br /> Map Page Zone Zone Chg, Part. J Cond. Use <br /> <br /> 4g A2 P 81- <br />use of Sldg,: NO Sdtm$. <br /> <br />Mtn Req. Front Sides Rear <br />Setbacks: [ J <br /> <br />Lot No: 3 BIk. No: Sub dy. <br /> <br />Lot Size 2.66 Acre~Corner? <br /> <br />Water Supply: Valuation: <br />Sewage Site <br />Disposal; Eval: Permit Fee: .... <br /> No. <br />Area of Bldg; Stories: State Surcharge: <br /> Roof <br />Basement: Type: Plans Chk. Fee: <br />Heating <br />System; Septic Permit Fee: <br /> <br />itl). O0 <br /> <br /> 15.00 <br /> <br />BTU: Total Fees: 1'~. ,.5-00 <br /> <br /> Rcpt, No: ~:~'~ ~ '~' <br /> VALIDATIONS: <br /> ZaFG SEPTIC PLANS <br /> <br /> agree re build according to the submitted plans and spec/f/cations, the laws of the State of Oregon and the Oridnances of Mar/on <br /> County. Permit expires if work not commenced within 120 days, I forhter expressly warrant that I comply with the provisions of ORS <br /> 70~.00~ to 701.125 because: <br /> <br /> ! ) I am a registered bu~/der or ( ) the authorized representative of a registered builder <br /> ( } The work will be performed by a r~ister~ builder NO~: ~is ~oes not ~t or 1reply ~rmiss]~ to <br /> { ) / am perform/~ work on a property l own or occupy ~]~ O~ this pmrcel. Pl~nnlng mpprovcl mhd <br /> ( ) Other (please ~ify) ~on ~miis m~t first ~ obt~i?ed <br />~ ~MARK5: ~ ~g ~ ~p~c ~llatmn begmm <br /> <br />I have read this application in its entirety and certify that the stated information is true and correct to the best of my know/edge, <br />SIGNATURE OF APPLICANT: ~ <br /> PLEASE NOTE~ sldewa~k inspections are required by Public Works: 588-5036 <br /> Other permits required by this dept: Plumbing [] Electrical [] <br /> <br /> <br />