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pi,-e Zo,~e ' ~)'~ ' ' <br />lype of Building ~.~'"' <br />'felass of Building <br /> <br />DEPT, OF BUILDING INSPECTION <br /> Marion County <br /> <br />APPLICATION FOR BUILDING PERMIT <br /> <br />VoluaHorl $ ~,~+~-. 0 0 ............. <br />Permit Fee $ <br />Septic Tank <br />Total Fee ~ ~6~ <br /> <br />Application is made to <br /> <br />Erect <br />Alter <br />Repair <br /> <br />Relocate Building <br />Demolish a Structure <br /> <br />Address Rt. l: Sha~ Rd.; Aumsv±lle <br /> <br />Lot Block Addition <br /> <br />Lot Size ...........~_ ~cres <br /> <br />Number of Siories one Basement ;~ <br /> <br />This permit covers <br /> <br />Size of Bid9, ~ <br /> <br />Height in feet <br /> <br />Sewage Disposal lSe~,~:iC Water Supply Well <br /> <br />Value of entire work when completed, including labor and materials; $ ~,848,00 <br /> <br />Builder Self <br /> <br />Address 1284 ~cl St... Stayton <br />Addre~ <br /> <br />Phone <br /> <br />Phone <br /> <br />Architect Address Phone __ <br /> <br /> DESCRIPTION OF WORK <br />~aff R~. ~ust ~a~s_t. residence of Dick Rea. <br /> <br />Appr. 600_'_ ............ <br /> <br />W. K. GRABER, BLDG. ADMR., g64-,4401 EXT. 55, COURT HOUSE <br />ONLY WORK DESCRIBED ABOVE INCLUDED IN PERMIT <br /> <br />Zone Char/ge No ......... <br /> <br />Variance Case No. <br /> <br />[ agree Ia build according to above description, plans and specifications and the Buildln9 Code of Morion County. <br /> <br /> ca. <br /> <br />APPLICATION RECEIVED <br /> <br />ly <br /> <br />SEPTIC TANK <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPARTMENT: Heating Plurnbing <br /> <br /> PERMIT ISSUED <br /> <br /> .......... <br />Oo e ? <br /> <br /> <br />