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~ott~e <br /> <br />718185 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING iNSPECTION <br /> Senator Building # 225 <br /> 220 High St.. N.E. 2nd Floor <br /> Salem, Oregon 97301 <br /> <br /> 588-5147 - 588-5148 <br />500 P.M.- ........... CODE.A-Phone 588-5373 ........... 8:00 AM <br /> <br />Type of Permit; UPPER FLOOR - adding 3 bedrooms~ famil7 room~ be~x Lot No: <br />Addres~::~ 1~7~ Mill Creek ~oad, s~ Aumsvi%le Sac.~ <br />Strobe~ ~ ~ <br />Owner: H~nry A-~4~ Pho :' 7~9-17~2 , Address: <br /> <br /> BLDG. #85-706 <br /> ELEC. ~1667 <br />p · ,PLBG. #20042 <br />~m~t NO. <br /> <br /> Pattg <br /> <br />Date: 7-17-85 <br /> <br />Twnshp.L-~-~ Rge. <br /> <br />81dr. & No.:: same Phone: Address: <br /> <br />Plans by:: Phone: <br />Mae Page ' Zone ~ ZoneChg, I Part. " Cond. Use <br /> 48 EFU , <br />Use of Bldg. No <br /> addn ~ upper floor orOee.~.~, 4 <br /> <br />Address: <br /> <br />Lot No ...... BIk, No,: .Sub dv, <br />Area of 51dg 2nd Base- Total <br />Main FIr,,~ __ Fir.:__ menf: Area: <br /> %RRK tleighth 23t6'' <br />Roof Type: <br />H~ti~ Wo~ <br />System:__ a~tpnH ~ ng Stove= nn 5upply:~ <br />Septic Tank f~aC~ New <br />Site gwh Instal · <br />Exist. <br />System: ........ GOIs.~ .... <br /> <br />VALIDATIONS:: <br />Date= /~& . ~ /~Date: <br /> <br />Date ..... ~.. ~ ? ~ ~ ~ ~ Dafe:~ <br /> <br />Lot Size 7 Ac r~-.~Corner?. ,, no <br /> <br />Valuotion:~.~_~> Z,?A40 - <br />Bldg, Permit 158.50 <br />Fee: ( + 5%~ 7.93 <br /> <br />Elect, Fee: .... 20.00 <br /> <br />Mech, Fee:__ , <br /> <br />Plumb. Fee: ..... ~5.00 -- <br />Surcharge. 8.14 <br /> <br />,,, Plans Chk Fee: ~,,03,03 ,, <br /> "- Permit Fee:__ ~0. O0 <br /> <br />I agree to build according to the submitted plans and specifications, the laws of the State <br />of Oregon and the Ordinances of Marion County.. Permit expires if work not commenced <br />within 180 days I further expressly warrant that I comply with the provision~ of ORS <br />701.00~ to 701.125 because <br />( ) I am perforrnmg work on a property I own ar occupy <br />( ) ~'~m o registered builder OR ( ) the authorized ( ) The work will be performed by a registered builder <br /> repre,~entative of o registered builder ( ) Other (please specify) <br /> <br />DEQ Surcharge:. 5- O0 <br /> 387.60 <br />TOTAL FEE:., ~'~- */L~O/ <br />RECEIPT NO..: ~ f~)~.~6 -~22.60 <br /> <br />I have read th/s application in its ent)Yery and certify that the stated inforrnati'On is true end correct to the best of my knowledge <br /> <br /> PLEASE NOTE:: Driveway and sidewalk inspections are required by Public Works: 588.5036 <br /> Other permits required bv this deer: Plumbing [~ ~[~ectrlcal [~ <br /> <br /> <br />