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Appl Revd;: ',~, Do <br /> <br />Date:; ' 10-31-79 <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br /> Senator Building ¢k225 <br /> 220 High St, NE 2ndFIoor <br /> Salem, Oregon 97301 <br />R,H, WITHROW, BLDG, ADMINISTRATOR <br /> ~ 588-5147 - 588-5148 <br /> <br />Type of Permit;: <br /> <br />AD~QUACEY CI{BCK FOR LOAN PURPOSe <br /> <br />Address:! 7084 i~[ILL C~,h~'.EK _~D. AUMSVILLB <br /> <br />81dr,, & No" <br /> <br /> .Tax Lot No;; <br /> <br /> Sec '~ Z¢/ Twnshp,, ~% Rge, <br /> <br /> 36300043~ F__ ---- <br />Phone:: - P, aaress:~ 455 2.=3a~_Q,t:. ~W, 97304 <br /> <br />Phone:: ~ Address:: <br /> <br />Plans by:: Phone:; Address:: <br /> M a~..2e ~ I..~...~ 7~//~ ZoneChg ' Part Cond. Use Variance Fire,one .Occupancy I' Type o+ Const <br /> <br />LOt NO, .BIk, No;: Sub dy,, Lot Size . Corner? <br /> <br />Water Supply:: ........... Valuation:: .... ~.$ <br /> <br />Sewage Site <br />DisposaL:: Evah Permit Fee <br /> <br /> No,, <br />Area of Bldg; Stories::. State Surcharge- <br /> Roof <br />Basement;; Type:: Plans Chk Fee:; <br /> <br />Heating <br />System- Septic Permit Fee;; <br /> <br />ADEQUACY: 25°00 <br /> <br />BTU;; <br /> <br />Total Fees:: <br /> <br />Rcpt. No;: <br /> <br />I ggree to bu/Id accordi'ng to the submitted plan~ and spec/f/cations, the laws of the State of Oregon and the Ordinances of Marion <br />County Petrol's expiYes if work not comf~ed within .120 <br />SIGNATURE OF APPLICANT:: x~' ~'¢~Lz.~,,.,~. CJ/;~__~4'~.-'~7 __ <br /> <br />VALIDATIONS:: <br /> <br />SEPTIC TA. ~N~ PLANS <br /> <br />By ? By:; <br />Date:: II ~ ~ "'-) ~ Date <br /> <br /> REMARKS <br />If doing bu~inees a~ described ~nder ORS ?01.0~5; I expressly wa~ant that <br /> <br />registered builder p~s~nt to the above <br /> <br />PLEASE NOTE; Driveway and sidewalk inspections are requirad by Public Works:: 588-5036 <br />Other permits required by this dept: Plumbing -~-j Electrical [] <br /> <br /> <br />