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MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Downtown Senator Building <br />'Appl. Ffevd: T't~trsdaT__ 220HighSt,,N,E, 2ndFloor PermitNo,/~¢ <br /> Salem, Oregon 97301 ~'~.. <br /> By: dm R.i-I. WITHROW, BLDG. ADMINISTRATOR By: <br /> 588-5147 - 588-5148 <br /> <br />Date: <br /> <br />Type of Permit; ~, ~Jr,,11.' (.r4x...,t4(m- 6" Xn::ul~tion hel:we~_~. Tax LotNo: <br /> <br />Bldr. & No.: Rossell [~c'i',Tz'~j¢_,~1: Phone:_ <br /> <br />Address; <br /> <br />Plans by: Phone: Address: <br />Map Page ~ Zoile Chg. Part, Cond, Use Vai'~ance Fire.~Zone Oceu~.andy Type of Con,t, <br /> <br />Lot No: __ BIk. No: Sub <br /> <br />Water Supply'. Valuation: <br />Sewage Feas. <br />Disposal'. __, Study; Permit Fee;_ <br /> No, <br />Area of 81dg; Stories;. State Surcharge: <br /> Roof <br />Basement; Type: Plans Chk. Fee; <br />Heating <br />System: Septic Permit Fee: <br /> <br />LOt S~ze ~,.?, <br /> <br />~20 <br /> <br />BTU: __ Total Fees; <br /> <br />Rept. No; $012 <br /> <br />I aEree to bu/Id accord~ne to the submitted p/ana apd spec/f/cations, the /aw~ of the State of Oregon and the Ord/nancea of Mar/on <br />County. Permit expires if work noE~mmenc~ with(n ~O da~. <br /> <br />VALIDATIONS: <br />ZONtNG ~" SEPTIC TANK <br />Date: ~ Date; <br /> <br />, 2d? <br /> <br />REMARKS <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: 588-5036 <br />Other permits required by this dept: Plumbing [] Electrical <br /> <br /> <br />