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Appl. Revd: <br /> <br />R y..' '_ c~' <br /> <br />CR Monda~ <br /> <br />5/3o/78 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION' <br /> DowntoWn Seoazor Building <br /> 220 High St., N.E. 2nd <br /> Salem, Oregon 97301 <br />R.~. WiTHROW, BLDG. ADMINISTRATOR <br /> 588-5147 - 588-5148 <br /> <br />TyPe of Permit: ~..e~!OtiO tamk repair ,. <br /> <br />~d~ 8561 Li~t%e...Roa~ ~, .Au~v~le 97325 <br /> <br />Owner: Stephen ,,U. S~uvdiv~ ~ho.e: ~_ 749-a~a <br /> <br />....... ,a,,, /7/7Z <br /> <br />Tax I.ot No: <br /> <br />Sec. ~Twnshp. ~__ Rge ..... <br /> <br />Bldr, & No.: Mike~ Septic Phone: Address:-- <br /> <br />_Plans by: Phone: AddreSs: <br /> <br />Lot No: ~. _Slk. No: Sub dv .... Lot Size Cornet? <br /> <br />Water Supgi¥: ~f~,3 1 ~ Valuation: ~ <br />Sewage at preset% Fens. <br />Disposal ~ C~T3 n~ Study; . . ~ Per~it Fee: <br /> <br />Area of 8ldg: -: . Stories:. S~te Surcha~: ~., <br /> Roof <br />8ascent: Ty~: ~ . , Plans Chk. Fee; , <br />Heating <br />System: Septic Permit Fee: <br /> <br />BTU: ......... . TOtal Fees: .,-. <br /> .apt No: . <br /> <br />I agree to /~utld acool~/ng m the ~bmlt~ pla~ a~ ~Yi~tl~, t~ I~ of ~e ~ ~ O~n ~ ~e O~i~n~ Of MariotI <br />Count. P,,m/t exple,, ;, wo~ not <br />SIGNATURE OF APPLI~NT: / '~.~ _~ <br /> <br />PLEASE NOTE: Driveway and Sidewalk inspections are required by Public Works: ~88~036 <br />C)~her permit~ requln~d by this del~: Plumbing ~ Electzlca! ~ <br /> <br /> <br />