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Ap~l. B'cvd, <br /> SR <br /> <br /> Z0/28/76 <br /> <br /> K~ARION COUNTY <br /> DEPT. OF BUILDING iNSPECTION <br /> 3180 Center St., N.E. <br /> Salem, Oregon 97301 <br />R.H. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 - 588-5148 <br /> <br />Permit Number <br /> <br />6__ <br /> <br /> residential <br />Bldg. Permit: <br /> <br /> Rt :~ Be× '/83~ Aurora <br />Address; ,, <br /> <br />Owner: <br /> <br />81dr. & No,; <br /> <br /> Location Permit: <br /> <br /> 678-5044 <br />Phone: ___,~_~ Add ~ess: <br /> <br />Phone: __.~. Address: <br /> <br /> City: <br /> <br />Rt 3~ Box 787, Aurora <br /> <br />Plans by: Phone; Address; <br /> <br /> Map Page Zonej ~on¢ Che, Parr. Cond. Use Variance Fire Zone Occupancy I Type of Const, <br /> <br />Use Of Bldg.: ~'~/- ~ Min Req, Fro~t "~ .~ ~ Rear/' <br /> <br /> 5 a 6 2 ~- ,- o Sewage Feas <br />Lot NO: __. BIk. No; Water Supply; ,=~zm r,¢~, Disposal: septic kn~udy? yes -. 1974 <br /> <br />Sub dy. Valuation: <br /> <br />Grim Es'k. <br /> <br /> Corner? 5}? <br /> <br />Area of B[dg; <br /> <br />Permit Fee: <br /> <br />Plans Chk. Fee: <br /> <br />23 ~ '700 <br /> <br />9'7.00 <br /> <br />No. of Stories: ~ ......... State Surcharge:. 2 o 91 <br /> <br />Basement; no Septic Permit Fee: <br /> <br />I agree to build according ~o the submitted p/ans and spec/f/cations, the la~ of the State of Oregon and the Ordfi~ances of Marion <br /> <br />County, Perm;t expires if work not commenced within 12~) days. <br /> <br />SIGNATURE OF APPLICANT: ///i~/x~ ~ <br />VALIDATIONS; ~ ~ ~/ u <br /> <br />By', ../~ 4- By', <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 [] <br /> <br /> <br />