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Zo.e <br /> <br />Type of Building · Wa~d fh,-nm~, <br />~:lass of Bai[dlng 'i.- <br /> <br /> DEPT. OF BUILDING INSPECTION <br /> Marion County <br /> <br />W. K, GRABER, BLDG. ADMINISTRATOR <br />588-5147, Courthouse <br /> <br />APPLICATION FOR BUILDING PERMIT <br /> <br />Permit No, --/ L'~"-~/ <br /> <br />Permit Fee <br />Septic Tank <br />Totel Fee ~ <br /> <br /> Erect <br /> Relocate <br />Application is made to A/fer]~ Demolish <br /> Repair][ <br /> <br />Address Lot //~ end of Boulder St. <br /> <br />Building <br />Structure <br /> <br />Lot ~ & Z~___. Block <br /> <br />Addition H~rmnond <br /> <br />lot $i~e 80' _~_lO_O, ! <br /> <br />Cons1 r uc:t k3rl Wood <br /> <br />Size of Bldg. <br /> <br />Number of Stories 1 Basement <br /> <br />Height in feet ~Apprax 20' <br /> <br /> Sewage Disposal Yes · Septi4~a~ Water Supply City <br /> <br /> Value of enth-e work when compleled, including labor and r'ncterlals: 5 1,O00.~Q <br /> <br /> w.er f~.~ T.t~ 1]~ Address ~567-~,,,,01',S <br />~ Sal~, Oregon 97301 <br /> <br />pho,e585'[ . A ............... <br /> <br />Phone <br /> <br />Address <br /> <br />Phone <br /> <br />DESCRIPTION OF WORK <br /> <br />~e~ ¢nd 'lard;er e~e~ .... <br /> <br />ONLY WORK DESCRIBED ABOVE INCLUDED IN PERMIT <br /> <br />Zone C~a~:~, No <br /> <br />Variance Case No, <br /> <br />............ SEPTIC TANK <br /> APPLICATION RECEIVED <br /> <br />....... ::..ZEZiL:: ~._.._ j Dot. <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPARTMENT: Heating <br /> <br /> <br />