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Appl, RecdJ. <br /> <br /> ~ATT~ <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 /> 5~8-5147 -- 5B~-5148 <br />5:00 P.M ....................... CODE-A-Phone ...................... 8;00 A.M. <br /> <br /> ~X~STING ~YST~M EEPO~ <br />Type of Permit: ~ ~ <br />Address: 86~ S~AW ~ ~ <br /> <br />Owner:, , ~ <br />Bfdr. & NO,.' ._ Phon~ <br /> <br />Plans by: <br /> <br /> REgID~C~ <br /> <br />Tax Lot No.: <br /> <br />Phone: <br /> <br />Lot No.; RIk. No,' Sub. dy,' <br />Area of Eldg. 2nd Base- <br />Main Fir.: Fir.: men:: ..... <br /> <br />Permit No,: ~-7~'; ......... <br />By; p~-~-L~ <br />Date: 7-25-~5 _ <br /> <br />Roof Type: Truax/eric;k: , <br />Heating Wood <br />System: Stove: <br />Septic Tank New <br />Site I~val,: . .. . Instal.: <br />Exist. NO. <br /> <br />Twnahp,: Rge.: <br />AUKSYTt.T.~. 97~23 <br /> <br /> Occupancy J TyI~ of <br />Fro'st ' ' si~s J Rear <br /> <br />VALIDATIONS: <br />Zoning: Mechantcal: <br />Date: . I~ i'late: <br /> <br />Date: __ Date:. <br /> <br />Lot Size: I AC.,, ,Corner? NO <br /> <br />Total <br />Are~,; <br /> <br /> Height <br />Water <br />_Supply: ~ <br /> <br />10oo <br /> <br />I agree to build according to the submitted plans a~ld apeciflcatloil$, the laws of the <br />$~ate of Oregon and the Ordinances of MariOn County. PERMIT EXPIRES IF WORK <br />NOT COMMENCEO WITHIN 1~0 DA Ye. I further expressly:warrant that I comply with <br />the provlelons of ORS 701.00~ to ?01,125 beeauee: <br /> <br />( ) The work will be performed <br /> by a registered builder <br />( ) Other/please specify) <br /> <br />I am performing work 011 a property I owl1 <br />or oecupy <br />I am a registered builde~ OR ( ) the <br />authorized representative of e <br />registered b~lilEer <br /> <br />REMARKS; <br /> <br />Valuation: __ <br />Bldg. Permit <br />Fee: (+ 5%) .............. <br /> <br />£1ect. Fee: ,, <br /> <br />Mech. Fee; <br /> <br />Plumb, <br />State ; <br />Surcharge: <br /> <br />Pleas Chk, Fee: <br />Septic Tank <br />Permit Fee: <br /> <br />OEO Surch%rge: <br /> <br />TOTAL FEE: <br />BLDG, <br />RECEIPT NO.'. <br />Driveway <br />Permit Fee: <br />Site Plan <br />Review Fee: <br />Public Works <br />Receipt NO.: <br /> <br />60.00 <br />60.00 <br /> <br />have read this application In it~ entirety and certify that the stated Intormatlon is true and cor~ct to the bast of my know/edge. <br /> <br /> PLEASE NOTE: Orivew~y~gtl~l ~idewalk inspection ere requ,¢ed by Public Works: $88-5036 <br /> Other permits I*eCluired by this dept.: Plumbing ID EJeotrical ID Meohanical rq <br /> <br /> <br />