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AppL Revd: ~r ThuredL-;y / <br />By; __~1 ~., <br /> <br />Date: ')et. !22,77 <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 />Type of Permit: <br /> <br />Address: <br /> <br />Owner;: <br /> <br />Bldr. & No,: <br /> <br />P~ans by: <br /> <br /> S992 Edeliff Cto 8E <br /> <br />keor~'.' & buy',% 53!-1¥67 <br /> Phone:: <br /> <br />14O93 <br /> <br />Phone:, <br /> <br />Address: <br /> <br />Address: <br /> <br />.Tax Lot No: <br />, ,, Sec, Twnshp, .~_,_Rge. <br /> ~'712 Liberty ~do S <br /> <br />Zone Chg,, <br /> <br />Part,, Cond, Use [ Variance Fire Zone OccuDancy Type of Const, <br /> <br />Min Rea, <br />Setbacks <br /> <br />Lot No; 7 .BIk. No: ,,, 2 Sub dv. C s¢'~dc ' ~ <br /> <br />Lot S~ze .... <br /> <br />Corner? ~~° <br /> <br />Water Supply: w'el ~ <br /> <br />Sewage <br />Disposal; so~Lj.c <br /> <br />Area of Bldg;' 1 61£/ <br /> <br />Basement;; <br /> <br />Heating <br />System: <br /> <br />Feas, <br />Study <br /> <br />Stories: <br />Roof <br />Type: <br /> <br />forced <br /> <br />Valuation: , $ <br /> 109.50 <br />Permit Fee:: <br /> <br />State Surcharge: 4 <br />Plans Chk. Fee; <br />Septic Permit Fee;; 3 ? ~ 50 <br /> <br />BTU: ,,. Total Fees: ],51,,.3S <br /> Rcpt,, No: <br /> <br />I agree to bu/Id according to the submitt~e¢ plans and specifications, the laws of the State of Oregon and the Ordihance$ of Marion <br />County. Permi~ expires if work not~p~nced w/th. i~ days. <br />SIGNATURE OF APPLICANT:~-¢z~ <br />VALIDATIONS: <br />ZON,~~ SBP~N~ ~ PLANS <br /> <br /> REMARKS <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: 588-5036 <br /> <br /> <br />