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JODY <br />B¥~- <br /> <br /> (~TOB~;R 3~ 1979 <br />Date: <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br /> Senator 8u?lding # 225 <br /> 220 H~gh St,,, N.E. 2nd Floor Permit No <br /> -- Sale~,,, Oregon 97301 <br />R,H. WITHROW, BLDG, ADMINISTRATOR By:: <br /> ~ 588-5147 - 588-5148 <br /> <br />OiT~EV.~LU"TION ~ ~ MOBILE HC[V[E~ ~PTIC Tf~K <br /> Tax Lot No: <br /> <br />Address::_ 8914 5H.,:J SG ~ Sb ~:.UMJVTLL~ <br />Owner: M ~R~bZ [KROB~ & [~L.',RILYN Phone~ 749 2721 Address~ <br /> <br />8ldr. ~ NO.:~ Sb~ ~hone'. ,, , Address:; <br /> <br />Twnshp, ~Rge,, , <br /> <br />Plans by: Phone: Address: <br />Milp~,.~page ,, ~"&Z°ne Zone Ch~, Part,, [~ _ ~t(~D{cOnd,, Use Variance Fire Zone [ OccUpancy,~ Type of Const <br /> <br /> ] No ,drms.. ~Min Req Fron; a Sides Rear¢ <br /> <br />Lot No:: .BIk.. Not ~ Sub dy.. Lot Size 2..acres. Corner? <br /> <br />Water Supply;; __we1! <br /> <br />Sewage Site <br />Disposah ~.ss~tic Eval; <br /> <br /> ': <br /> <br />Heating <br />System:; <br /> <br />Valuation: __ <br /> <br /> 50.00 <br />Permit Fee; <br /> <br /> 2.00 <br />State Surcharge;; <br /> <br />Plans Cbk. Fee; <br />Septic Permit Fee; 60.00 40o00 <br /> <br />BTU. . Total Fees: . 152,00 <br /> Rcpt. No: '- ..--' <br /> <br />County. Permit expires if work~~ wi~ 120 <br />SIGNATURE OF APPLIOANT~(~¢~ .. -_ _ -- ........ <br />VAL{DATIONS: ~ ~ ~ / ' <br />ZONING ~ SEPTIC TANK PLAN~ <br /> <br /> REMARKS <br /> <br />PLEASE NOTE; Driveway and sidewalk inspections are required by Public Works: 5885036 <br />Other permits required by this dept; Plumbing [] Electrical I-q <br /> <br /> <br />