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Appl, Recd.: <br /> <br /> MARION COUNTY <br />DEPT. OF BUiLDiNG INSPECTION <br />Senator Building #225 <br />220 High St,, N,E, 2nd Floor <br /> Salem, Oregon 97301 <br /> <br /> s88-5147 -- <br />5:00 P.M ....................... CODE-A-Phone ...................... 8:00 A.M. <br /> <br /> 86-169 <br />Permit No.: <br /> <br />By: <br /> <br /> 3-13-86 <br />Date: <br /> <br />Type of Permit: ~m~'IST'rNG ,S~$~.~4 ~.,[~0~ ~OR LOA]~ <br /> <br />Address: 80~'~ MTt,'I', Olc~]~ i>~ ~ A[~/~.S¥'rr,T.~ ~525 ....... <br /> <br />Owner; BAe:AN & TAi~4Y BCOCK Phone: <br /> <br /> Tax Lot No.: <br /> <br /> Sec_: ~Twnshp.: <br />,., AddresS: ~ ...... <br /> <br />Rge.: ~ <br /> <br />Bldr. & No.: ...... Phone: Address: <br /> <br />Plans by: .. <br /> Map ~age J <br /> <br />Phone; ..... Address; ..... <br /> <br />Lot NO.; 81k. No.: Sub. dy.; ,, <br />Area of Bids, 2nd Base- Total <br />Main Fir,: _.~._..~._FIr.: merit:, . Are~: <br /> <br />Roof Type: ........ <br />Heating Wood <br />System: ..... Stove: <br />Septic Tank <br />Site Eval.: <br />Exist. <br /> <br />TrusS/Stick~:: Height: <br /> Water <br /> Supply: .... we't*l <br /> <br />VALIDATIONS: <br />Zoning: <br /> <br />Septic Tank: <br />~ste: <br /> <br />New <br />instal.: <br />NO. <br />Gals.:, <br /> <br />Meehantcal: <br />Date: <br />Plans: <br />i')ate: <br /> <br />Lot Size:.. 1~3c~:)O Corner?__ <br /> <br />Valuation:. <br />~Jdg. Permit <br />Fee: (+ 5%) <br /> <br />Elect. Fee: <br /> <br />Mech. Fee: <br /> <br />Plumb. Fee: . <br />State <br />Surcharge: (4%) <br /> <br />Plans Chk. Fee', <br />Septic Tank <br />Permit Fee: <br /> <br />J agree to buiSd aecorc~ing to the submitted pla~s anti specitteationa, the laws Of the <br />State of Oregon atlcl the Ordinances of Marion County. PERMIT EXPIRES IF WORK <br />NO T COMMENCED WI THIN I~0 DA Ye. I further expr~$1y warrant that I eomply with <br />the provielon$ of ORS 701,~05 to 701. t25 be{;ause: <br /> <br />( ) I am performing work on a property I Own <br /> or oeeupy <br />[ ) I am a registered builder OR ( ) the <br /> autho~'iaed n~presentative of a <br /> registere~ builder <br /> <br />The work will be performed <br />by e regletered builder <br />Other (please specify) <br /> <br />DEQ Surcharge; <br /> <br />TOTAL FEE: <br /> <br />RECEIPT NO.:- <br />Driveway <br />Permit Fee: ..... <br /> <br />Review Fee- <br />Publl(~ Works <br />Reeeipt No.: <br /> <br />REMARKS: ..... <br /> <br />I have read this application 1~ its entirety and certify that the stated information is true and correct to the best of my knowledge, <br /> <br /> D~veway <br /> ~ ~)wal k <br /> PLEASE NOTE: and ina"~eection are required by Public Works: 588-503{~ <br /> Other permits required by this dept,: Plumbing Q Electrical [] Meehanicat m <br /> <br /> <br />