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MARION COUNTY <br /> DEPT. OF BUILDING iNSPECTION <br /> City of Aumsvi ] ] e Senator Building # 225 <br />Appl. Reed:: __ 220 Higll St, N,,E, 2nd Floor Permit No, SO] <br />fC Salem, Oregon 97301 <br />By:: By:; __ Dot;~ie <br /> 588.5147 - 588-5148 <br /> 2-15-83 500 PM- .......... CODE-A-Phone 588-5373 ........... 8::00 AM <br />Date: Date:: 2/28/83 <br /> <br />Type of Permit:: <br /> <br />Address;; <br /> <br />Ow,er,Santiam Sanitary Service <br /> <br />Attached Pole Building <br /> <br />9613 Mill Creek Rd. Aumsville, OR <br /> <br />.Tax Lot No:: __ <br /> <br />Sec, __.Twnshp Rge, <br /> <br />Phone;; 749-1055 Address:: <br /> <br />Bldr, & No,;;Le°nard Ackler #13207 Phone; __ Address:: <br /> n <br />Plans by:: Phone: Address: <br />Map Page Zone I Zone Chg "~ar t /' Cond Use "Variance Fire Zone <br /> C <br />Use of Bldg NO 9drms Min Req <br /> <br />5 °~"TYlTvP"°tc°"StMetal~-/~/ <br /> <br />Lot No BIk No Sub dy. Lot Size 157x257 Corner?. riO <br />Area of BJdg ~('1~1 2nd BaSe- Total <br />Main Fir -'_-'~_ Fir.: ment: Area- 900 .... Valuatiom . 7362.00 ..... <br /> <br />Roof Type: __ Metal Truss/Stick: Fee::[ [1~?4 62.65 <br />Heef~ng Woo~ W~fer <br /> 20.00 <br />System: Stove Supply:: Elect Fee:: <br />Septic Tank New <br />Site Evoh_ Instal:. <br />Ex[st No <br />System, Gals: Plumb, Fee: ...... <br /> State 4.93 <br />VALIDATIONS~ $urcharge~ ........ <br />Zonmm Me:h~.~cal: C0A 5 % 6.]'7 <br />D~te:: D~te:__ Pbns Chk, Fee~ <br />SeptJcTank= Plans,~~.. / ~ r/ ~ Septic Tank <br />Date Date~ / t/ -- ~ Permit Fee:. _ <br /> <br />Merh Fee:: ......... <br /> <br />agree to bu,ld according to the submitted plans and specifications, the laws of the State DEQ Surcharge= <br />of Oregon and the Ordinances of Mar~on County Permit expire~ if work not commenced <br /> 134.47'* <br />wdhm 180 days I further expressly warrant that I comply with the provision~ of ORS TOTAL I=EE: <br />701 005 to 701,125 because <br />) I am performing work on a property I own or occupy RECEIPT NO, 6924. <br /> ) t am a registered budder OR ( ) the authorized ( X ) The work will be performed by a registered builder <br /> representative of a registered builder ( ) Other (please ~pe¢ify) <br /> <br />REMARKS <br /> <br />I have read tbi~ apphcation tn its entirety arid certify that the stated Jn£ormatior~ i~ true and correct to the best of my knowledge <br /> <br /> PLEASE NOTE:: Driveway and sidewalk inspections are required by Public Works 588-503B <br /> Other permits required by th~s dept;: Plumbing ~ Electrlcal ~J <br /> <br /> <br />