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Appl. Recd.; <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building #225 <br /> ~0 High St., N,E. 2nd Floor <br /> Salem, Oregon 97301 <br /> <br /> 588-5147 -- 588-5148 <br />5:00 P.M ....................... CODE-A-Phone ...................... 8:00 A,M, <br /> <br />Permit No,: 472 <br />By: D0ttie <br /> <br />Bate: 8/8/86 <br /> <br />Rge,: <br /> <br /> , <br /> <br />Roof Type: <br />Heating Wood <br />System; Stove: __ <br /> <br />Type of Permit: <br />Addre, s: / o o sec.:Tw,e p. <br /> <br />Bldr. & No,: ¢¢~/J~ .Phone: Address:__ <br /> <br />Plans by: .............. ¢ ~ ~ ~/'~ Phone: Address: <br /> <br />, e of Bleg4 ~ NO, ~d~, ~ Min Req. Front Sides ROar <br /> <br />Area. of Bldg, 2nd Base- Total 1 ~ <br />Mai. Fir,: .Fir,; me.t:. Are~; Valua,iom ~mA ~ <br /> Bldg. Permit <br /> Height: Fee: (+ 5%) ~ 86.50 <br /> Water <br /> Elect, Fee: <br /> <br />Truss/Stick: <br /> <br />Septic Tank New <br />Site Eval.: __ Instal.: <br />Exist. No, <br />System; 1 6 7 Gals.: <br /> <br />Mech. Fee: <br /> <br />VALIDATIONS: <br />Zoning: Mechao~cah <br />Date: __ Date; <br />Septic Tank; Plans: <br />Date: ........ Date: /~' ~ <br /> // <br />I agree to build according to the submitted p~sand specifications, the laws of the <br />State of Oregon and the Ordinances of Marion County. PERMIT EXPIRES IF WORK <br />NO T COMMENCED WI THIN 180 DA YS. I further expressly warrant that I comply with <br /> <br />Plumb, Fee: <br />State ~,~- 3.46 <br />Surcharge: (4%) _~, ~[~3~ <br /> · ,,.~'256.23 / <br />Plans Chk. Fee: ~'/f..4¢~.~ ,.~ <br /> 8.96 fl eet"~ ~ <br />Permit Fee; __ <br /> <br /> / <br /> <br />BLDG. Total t59.00 ~\v~ <br />RECEIPT NO.:, ' <br /> <br />the provisions of ORS 701.005 to 701.125 because: <br /> <br />( ~) I am performing work on a property I own <br /> or occupy <br />( ) I am a registered builder OR ( ) the <br /> authorized representative o! a <br /> registered builder <br /> <br />The work will be performed <br />by a registered builder <br />Other (please ~pecify) <br /> <br />Driveway <br />Permit Fee: <br />Site Plan <br />Review Fee: <br />Public Works <br />Receipt No.: __ <br /> <br />REMARKS: <br /> <br />I have read this application in its entirety and certify that the stated information is true and correct to the best of my knowledge. <br /> <br />SIGNATURE OF APPLICANT: ~'~'-"~----J'.~ ~--~¢-~., , <br /> PLEASE NOTE: Driveway and side pection are required by Public Works: 588-5036 <br /> <br /> Other permits required by this dept.: Plumbing E] Electrical I-I Mechanical m <br /> <br /> <br />