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~1. Rev~l; T'hursday <br /> <br /> -MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building # 226 <br /> 220 High St., N,,E. :;?nd Floor <br /> Salem, Oregon 97301 <br />R.H. WiTHROW, BLDG, ADMINISTRATOR <br />588-6147 - 588-6148 <br />5::00 P.M,- ........... CODE-A-Phone 588-5373 ........... $00 A M. <br /> <br />Permit No. <br /> <br />By;; <br /> <br />Type of Permit: <br /> <br />Address;; <br /> <br />Owner;; <br /> <br />Bldr & No.:: <br /> <br /> l~ab'il~ Hr~m~ '~'~pplacernent &:Elec. Connection <br /> 9263 Porter P~osd, $o E. ~%umsvill. e <br /> <br />Francea Killinger~ Pho.e: 749-2605 <br />~timm ~dobi%e ~ale~ Phone: <br /> <br /> Tax Lot No,, __ <br /> <br /> Sec. 1 Twnshp. ~Rge. <br /> <br />Address: 8814 West Stayton ~oad~ o. '"'. <br /> Aumsville 97325 <br />Address: Aumsville . <br /> <br />Plans by: Phone; Address: <br />~51~fCl..._Z°~;~ .... Zone Chg ,Pert' .......... Cond,, Use Variance Fire Zone <br />gsa of raldg'::Eesidcuce or gcc,, Ld- X ~etbecks:: <br /> <br />Lot NO:: __ BIk. No: Sub <br /> <br />Lot Size ~, /~z*~ Corner? <br /> <br />Water Supply;; ~,;,'e ] 1 Valuation:: $ <br />Sewage Site <br />Disposal:; ~:,t~ c Eval: $~ 7bt Permit Fee:: <br /> <br /> No. 1.40 <br />Area of Bide; 19 ~ AR ...... Stories:. State Surcharge: __ <br /> <br /> Roof <br />Basement:: Type; Plans Chk. Fee: <br />Heating <br /> Septic Per'm~ 40.00 <br />System:: <br /> <br />BTU; <br /> <br />Total Fees: 76.40 <br />Ropt. No; _ <br /> <br />VALIDATIONS: <br />ZONING,~) SEPTIC T PLANS ',.~ <br /> <br />I agree to build accordi)~g to the submitted plans end specifications, the laws of the State of Oregon and the Oridnances of Marion <br />County. Permit expires if work not commenced within 120 days, I furhter expressly warrant that I comply with the plovzsions of ORS <br />701 005 to ?01 12~ because: <br /> <br />( ) Iamarew~teredboilderor( ) tbeau~orizedrepresentativeofar~i~ter~builder <br />( ) Theworkw)l/bepefform~byar~i~ter~builder <br />( ) I am performing work on a property I own or occupy <br /> <br />I have read thib application in its entirety and certify that the stated informati'on is true and correct to the best of my know/edge. <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are r&qu[red by Public Works:: <br /> <br /> Other permits required by this dept: Plumbing [] Electrical <br /> <br /> <br />