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, , Mond ay <br />Appl ,~Revd <br /> <br /> pS <br /> <br />Aug~ 21~ 1978 <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-L WITHROW, BLDG, ADMINISTRATOR <br />588-6147 -- 588-5148 <br /> <br />Permit No ...... <br /> <br /> ~ol~ile home & seo~ic ~canctk <br />Type of Permit,, <br /> <br />Address, R~,. ~1 BOX24~_~__8 D-R- Aurorc: <br /> <br />Owner: <br /> <br /> 678-1222 Ad'ross~¢'''~z~c~ ,. P0 Box 3500 P~r%land DPo <br />p, <br /> <br />81dr, & No~:_ sade Phone: _. Address:_ <br /> <br />Plans <br /> <br />U~e of B ldg <br /> <br />Zone Chg <br /> <br /> Phone; Address; <br />~ Cond Use [ Variance [ I=ireZone I Occul~an¢¥ t TyO'ofCo~' <br /> <br />Lot No, <br /> <br />B[k, No'____ Sub dy, <br /> <br />Lot Size~ c~z __Corner? <br /> <br />Septic Permit Fee: <br /> <br />Water Supply: _ : w~13 Valuation: ~ <br />Sewage Fees, <br />Disposal:: ~..._z~zz~:d;~ u ~ Study, Albez~s ~ See ]~anJlC~e~l~i~q~r~e:__ <br /> <br />Area of Bldg; 8 ~ 45 No,, 2 bedrooms <br /> Storie~:~ ~ ~ State Surcharge; <br /> Roof <br />Basement. Type: Plans Chk. Fee; <br /> <br />BTU,, .... Total Fees; <br /> <br />37.50 <br /> <br />53.10 <br /> <br />Rcpt, No; c--P ~ ~-> ~_~3 <br /> <br />I agree to build accord/nE to the submit_ted plans and $peclficatlon% the law~ of the S~te of Oregon and die Ordinances of Marion <br /> <br />County. Permit expires/f work not c?~rdencad w/thin 120 day&~ ~ <br /> <br />VALIDATIONS, ~ OC2_ ~'~ /. <br />ZONIN~ .- SEP%IC TA~~ PLANS <br /> <br /> REMARKS <br /> <br />PLEASE NOTE" Driveway and sldew~lk inspections are required by Public Works: <br /> Other permits required by this dept: Plumbing [] Electrical <br /> <br /> <br />