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 MARION COUNTY <br /> . OF BUILDING INSPECTION <br /> Senator Building #225 <br /> 220 High St. N E, 2nd Floor Permit No. 4?6 <br />By MAY 5 1986 Salem=Oregon 97301 By' Oottte <br /> <br />Oweer: 'r Druh Phone: Addre,; Ye// A/ /e <br /> <br />Plans by Phone .. Address- ,, <br /> <br /> Corner? <br /> <br />Area of Bldg 2nd Ba~- TO~I <br />Main Fir ..... Fir.: . . ,,.merit A~a. ~ ValuatloR, <br /> ~ldg. Permit <br /> <br />Root Type- True/Stick; ,,. Height: Fee: (+ 5%) <br />Heating Wood <br />System- <br />~eptic Tank New <br /> / <br /> <br />Site Eval .Jnstal ......... Mech. Fee: <br />Exist NO. <br />System ..... Gels-: Plumb~ Fee <br /> State <br />VALIDATIONS: Surcharge- (4%) <br />Zoning Mechanical, <br /> Plans Chk, Fee, <br />Date .Date- , ..... <br />Septic T~nk., .1 w Plans, Septic Tank <br />Date ~ ~:~-- ~J~ ~ ~ Date Permit Fee- <br /> <br />I agree to build according to the suPmitted plans end 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 w~th <br />the prow$ion~ of ORS 701.00~ to 701,12~ because' <br /> <br />( ) I am perfotm#~g work on a property I own <br /> or occupy <br />( ) I sm a registered builder OR ( ) the <br /> authorized representative of a <br /> registered builder <br /> <br />The work will be performed <br />by s registered builder <br />Other (please specify) <br /> <br />DEQ Surcharge' <br /> <br />TOTA EE. <br />BLDG <br />RECEIPT NO <br />Driveway <br />Pe,mJt Fee: , <br />S~te Plan <br />Review Fee,, <br />Public Works <br />Receipt No <br /> <br />REMARKS <br /> <br />I have reed this application in its entirety and certify that the stated InfOrmatiOn is true and correct tO the best of my knowledge <br /> <br /> PLEASE NOTE Driveway and sidewalk inspection are required by Public Works. 588-50~ <br /> Other permits requir~ by this dept.. Plumbing D Ele~ri~al ~ Mechanical ~ <br /> <br /> <br />