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P~onc:~ay <br />Appl. Revd; <br /> <br />By: <br /> <br />Date; <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Downtown Senator Building <br /> 220 High St., N.E. 2nd Floor <br /> Salem, Oregon 97301 <br />R.i-i, WITHROW, BLDG. ADMINISTRATOR <br />588-5147 - 588-5148 <br /> <br />Type of Permit: <br /> <br /> 10664 Silver Fells ? wy.S ;.:'~umsville <br />Address;, <br /> <br />97325 <br /> <br /> _Tax Lot No: <br /> <br />Address; same <br /> <br />,. Address: <br /> <br />Address: <br /> <br />Fire Zone <br /> <br /> Surkett <br />Owner: Ru.,~.'~all fl. e Thelma ~. Phone: 749-2040 <br /> <br />S~dr, & NO.; Phone~ <br />Plans by; ~r~ini~ & ,,sso~i~%es Phone: <br /> <br /> Map Page Zone Pert. , Cond. Use ~ <br /> ~/(/i~ *z~J ~/ Zone Chg. Variance ~e~_c~ T~e~opons,. <br /> <br />Lot No: .... BIk, No: ~ Sub dy. Lot Size Corner? <br />Water Suppiy; w~[ [ Valuation: $ ~0 ~ 000. O0 <br /> <br />Sewage Fees. ~isi~ing 145.50 <br />Disposal: ~P~ Study: Permit Fee:_ <br /> 1~00 No, 1 5.82 <br /> <br /> no Roof tile~stick <br />Basement: Type: ~lans Chk. Fee: <br /> <br /> 0.00 <br />System: Septic Permit Fee: <br /> <br />BIU: Total Fees: ~51.32 <br /> <br />SEP A K <br /> <br />VALIDATIONS: <br /> <br /> PLANS <br /> By: <br /> Date: <br /> <br /> REMARKS <br /> Y~o~ile, home will be removed upon occupancy o£ the house. <br /> <br />PLEASE NOTE: Driveway end sidewalk inspections are required by Public Works: 588-5036 <br />Other permits required by this dept: Plumbing [] Electrical [] <br /> <br /> <br />