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Date;; <br /> <br /> MAroON COUNTY / <br /> AppL R~cvd. DEPT. OF BUILDING iNSPECTION Permit Number <br /> 3180 Center St., N,E. <br />Lmr Salem, Oregon 97301 By <br /> R,H, WITHROW, BLDG. ADMINISTRATOR <br /> 588-5147 -- 688-5148 <br /> <br />March 30, 1976 <br /> <br />BIdg Permit:: ..... <br /> <br />Address:: __ <br /> <br />Owner:: <br /> <br />Bldr,, & No: <br /> <br /> addn to mobile home Location Permit:: <br /> <br />Rt. 1 Box 197 Aurora ( our existing permit adcLress is Rt. 1 ~ty:196 A)same property <br /> <br /> Peter Ross 678-S654 <br /> Phone:: Address:: same <br /> <br /> same <br /> Phone: Address: <br /> <br />Plans by:: Phone; <br />2,;~P~§° ~1' Zone Chg P~r~,,' CohO, Use <br /> addn to res-livingroom & storaqeroom <br /> <br />Lot No:: ll.~& i.~_2 Bfk. No: 14 <br /> <br />Water Supply ;;. <br /> <br />Address;: <br /> <br />Va¢iance Fire~_Z°ne , ~/ Occupa~nc¥ " TVDe ~-4.~,°f C~t <br /> <br /> M in Re~,, Front Sides Rear <br /> <br /> Sewageexisting Fees. <br />wel~ Disposal; septic ~ Study? <br /> <br />Sub dy. Wiseacre Valuation; $ 3200°00 <br /> <br />Size of Lot;; 100 x 448 Corner?___ Permit Fee:: x~J~ 15.00 <br /> <br />Area of Bldg:: addn is 12 x 30 <br /> <br />Plans Chk, Fee; __ <br /> <br />No, of Stories:: one State Surcharge:: <br /> <br />Basement: __ ~o Septic Permit Fee: <br />Type of Roof: Total Fees:: <br /> <br /> $15.oo <br /> <br />Rapt,, No. <br /> <br />I agree to build accordzng to the submitted plans and apecificetiona, the laws of the State of Oregon and the Ordinances of Marion <br /> <br />SIGNATURE OF APPLICANT: , " ~-~.~ <br />VALtDATIONS:; ~ <br />ZONI~~. <br /> SEP%IC TANK <br /> <br /> REMARKS <br /> <br /> ~o ~9~2~t ~ add~on tn ~%istin9 moh4]e h~mp-- ibis ~ddn is ~ ¢ ' jng <br />though% of as a mobile ad~ .... fee based on %his-pa= Don Carver q~_~//Oz/~/~ <br /> <br />$88-5036 <br /> <br />PLEASE NOTE;; Driveway and sidewalk inspections are required by Public Works; <br /> Other permits required by this dept: Plumbing [] <br /> <br /> <br />