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· ~ MARION COUNTY <br /> ,.J~ ,,' 'DEPT. OF BUILDING INSPECTION <br /> Senator Building # 225 <br /> 220 H~gh St,, N,E, 2nd Floor <br /> Salem. Oregon 97301 <br /> R.H. WITHROW, BLDG. ADMINISTRATOR <br /> 588-5147 - 588-5148 <br />5:00 P,M,,- ............ CODE-A-Phone 588-5373 ........... <br /> <br />Permit No,, <br /> <br />By: <br /> <br /> p, 8 Rem <br /> <br /> Aumsv~.).;[e 97325 <br /> <br />Type of Permit: <br /> <br />Owner: ~ra~eg <br /> <br />Bldr. & No.: <br /> <br />Plans by: Phone: <br />Map Page Zone Zone Chg Part. i Cond, L <br /> <br />Use of Blde'::~.~,l~.[~.~ <br /> <br />ain Re~, Front <br />Setbacks:: <br /> <br />Sides <br /> <br />Lot No; .BIk,, No;: ~b dy. <br /> <br />Corner? <br /> <br />Water Supply:: <br /> <br />Sewage <br />Disposal:: ~ <br /> <br />Area of Bldg; <br /> <br />Basement: <br /> <br />Heating <br />System:: <br /> <br />BTU:; <br /> <br />VALIDATIONS:; <br />ZONING <br />By <br /> <br /> Valuation; <br /> <br />Site <br /> Permit <br />No <br /> <br /> PI <br /> <br />Total Fees: <br /> <br />Rcpt. No: <br /> <br />SEPTIC PLANS <br /> By- <br />Date:: Date <br /> <br /> I a£ree to build according to the specifications, the laws of the State of Oregon and the Oridnancas of Marion <br /> County, Permit expires if work not commenced within 120 days, I furhter expressly warrant that I comply with the proviblon,s of ORS <br /> 701,005 to 701.125 because,:' <br /> <br /> ( ) lamaregiateredbuilderor( ) theauthorizedrepresentatzveofareg~steredbuilder <br /> ( ) The work will be performed by a registered bu#der . <br /> ( ) I am performing work on a property I own oro~c, cu~ <br /> <br />' ..... I haveL_r~ad~b/¢app~n--in/ts_=_ .. ent~t~nd ce~ th)t ¢~?ta(~E~nforma~onon S true andand~'orrectorr to the best of my knowledge, <br /> SIGNATU R e OF APPLICANT;; _~--~/ <br /> PLEASE NO%E: Driveway and sidewalk inspections are ~uired by Public Works;; <br /> Other permits required by this dept; Plumbing ~ Electrical <br /> <br /> <br />