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~r~day <br />+~p~ Revd: <br /> ~R <br /> 8y; <br /> <br />Date: <br /> <br /> MARION COUNTY <br /> DEPT, OF BUILDING INSPECTION <br /> Downtown Senator Building <br /> 220 High St., N.E. 2nd Floor <br /> Salem, Oregon 97301 <br />R.H. WiTHROW, BLDG, ADMINISTRATOR <br />588-5147 - 588-5148 <br /> <br />Permit No. ~;,,, <br /> <br />By; <br /> <br /> residential <br />Type Of Permit; <br /> <br />Owner: David L. Baker <br /> <br />Bldr, & .; ......... <br />Plans by; builder <br /> <br /> , Tax Lot No: <br />/~L,'~','~-%, ~ (t"' Sec. ~Twnshp. ~(2/ <br />Phone: Address: <br /> <br /> Phone: 393--7824. Address: 4743 P~t~'ic±e ~t. ~£ <br /> Phone; Address: <br /> <br />Map Page <br /> <br />single family residence <br /> <br />Z~ge, I ZoneChg. , Par~. Cond. Usa V~ri~i3ca Fire Zone }Occupancy Type of Const. <br /> Min Req. Sides <br /> <br />Lot No: F~lk. No; ..... Sub dy. Lot Size 5 ~c~ceS_Corner? __ <br /> <br /> 32~000,00 <br />Water Supply; well Valuation: __ <br />Se~age septic tank Fees. 121o50 <br />Disposal: Study: Permit Fee'. .... <br /> <br /> 1650 ~q ft No. 1 3.65 <br />Area of Bide: Stories: State Surcharge; <br /> <br /> Roof <br />Basement; ~9 Type: -- comp - f,~uss Plans Chk, Fee: <br />Heating electric ceiling l~eat 37°50 <br />System; Septic Permit Fee; <br /> <br />BTU; _ Total~Fees: 162,65 <br /> <br />Rcpt. No; ~ <br /> <br />I agree to build according to the submitted plans and specifications, the la~ of the State of Oregon and the Ordinances of Marion <br />Cour;ty. Permlt exp/res /f work nT~enced.~ithi{~2O d~j~/ % <br />SIGNATURE OF APPLICANT:~ ~~ %~* - ~~ ,, <br /> <br />VALIDATIONS: <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: 588-5036 <br />Other perm[ts required by this dept: plumbing I~ Electdca[ L~, <br /> <br /> <br />