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Appl, Revd. ~riday <br /> ~ <br /> <br />Date; <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.H. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 - 588-5148 <br /> <br />Type of Permit;; Residence - demolition <br /> <br />Permit No.7/'-"'-_-5,,.,) ~ <br /> <br />9y;: <br /> <br />Address:, 9223 Wo St~¥ton Road <br /> <br />, See,, Twnshp. _ Rge <br /> <br />Owner;; R~ ~ Cm~.~e~ ~ ~R Phone: <br /> <br />Address:: <br /> <br />Bldr & No,,::~.T~,T~- A~,~ll A,¥~ ]~0.~ Phone; <br />Plans by: Phone;; <br /> <br />Address;;~ 5877 GalVin Rd. <br />Address;; <br /> <br />,,Sides __ iL, Rear <br /> <br />Setba~ <br /> <br />Lot NO' BIk, No Sub d',J, <br /> <br />Water Supply: Valuation; ,~ <br />Sewage Fees. <br />Disposal:; ..... Study: Permit Fee: ~o00 <br /> <br /> No <br />Area of BJdg; Stories:; State Surcharge;; .28 <br /> Roof <br />Basement:; Type:: Plans Chk,, Fee:: <br />Heating <br />System:, Septic Permit Fee: <br /> <br />BTU:: Total Fees; 7~28 <br /> <br />Rcpt,, NO:: <br /> <br />I agree to build according to the ¢ubmit~ plan~ and specifications, the laws of the State of Oregon and the Ordinances of Mar/on <br />County. Permit expires if work not eom~ep/ced within 120 ~f~ys, <br /> <br />SIGNATURE OF APPLICANT: ..... y ,, ~ <br /> <br />VALIDATIC, NS: <br />ZONING (~ .~ (~ SEPTIC TANK <br /> <br />REMARKS <br /> <br />PLANS <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: 588-5036 <br />Other permits required by this dept:; Plumbing L~ Electrical ~ <br /> <br /> <br />