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Marion County <br /> Fire Zone ~ W, K. GRABER, BLDG, ADMINISTRATOR Valuation $ <br /> 3G4~1~01 Ext 5§, Courthouse <br /> Type of Building ~ _ Permff Fee $ 3.00 <br />~-~'i,~lass_ of Building~--~ APPLICATION FOR BUILDING PERMIT Septic Ton[< <br />  3.00 <br /> Total Fee S <br /> <br /> erect <br /> Application is made to Aher RelocateDemolish a StructureBUiJding This permit covers ConslrudionFXcavoli°n <br /> Repair <br /> <br /> Rt 1 Box 76, Aumsville <br /> Address <br /> <br />Lot Block Addition <br /> <br />lot Size acreage Size of Bid9 12 x 60 <br /> 2--b~-drooms <br /> <br />Construction <br /> <br />Nurnber of Stories BQ~ement Height in foot <br /> <br />mobile home <br /> <br />Occupancy or use <br /> <br />Disposal e~4 nt-~ ng mepfJ c Water Supply well <br /> <br />Value of enHra wor[< when completed, including labor and materials: <br /> <br /> Halsey Love tov <br /> <br />Builder <br /> <br />Address <br /> <br />Address <br /> <br />4733 N Portland Ed. <br /> <br /> 581-4096 <br />Phone ............. <br /> <br />Phone <br /> <br />Architect Address <br /> <br />Phone .......................... <br /> <br />Santiau~t Golf Course <br /> <br />DESCRIPTION OF WORK <br /> <br /> Zone Change No <br />ONLY WORK DESCRIBED ABOVE INCLUDED IN PERMIT Variance Case No <br /> <br />I agree to build occording to above descHptlon, plans end specificat,~ons and the Building Code of Marion Count~ <br /> <br />APPLICATION RECEIVED <br /> <br /> SEPTIC TANK <br />App,oved-Nol Approved <br /> <br />By <br /> <br />Date <br /> <br />Oate <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPARTMENT: Healing Plumbing <br /> <br /> <br />