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Appl. R'cvd. <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> :3180 Cen~er St., N.E. <br /> Salem. Oregon 97301 <br />FLH. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 - 588-5148 <br /> <br />Permit Number <br /> <br />Bldg. Permit: Te. tl~Dor&r}, ~bile [~o~e,,,,,,,,~e~it <br /> <br />Address: ~.06~t~ Silver Fall~ t[~y $.~ <br /> <br />Citw ,,, Aumsvt[le <br /> <br />Owner: JO.~.e~ Etzel Phone: Address: s~me <br /> <br />8ldr. & No.: <br /> <br />Phone:~ <br /> <br />Address: <br /> <br />Plans by: , , Phone: , __ Address: .............. <br /> ~e l~ i Zo.eCha. l...~ert.'" Canal. Use' Va,a.~e I ' "Fire ~one ] O~'ncy' Type of Con,t, <br /> <br /> a~ge Exie~i~ Fees_ <br />~t ~: BIk. No: Water Su~ly~ Dis~l:'&~ <br /> <br />Sub dy. Valuation: <br /> <br />Slse of Lot: 7 acres Corner?~' Permit Fee:~ <br /> <br />15.00 <br /> <br />Area of 13ldg: <br /> <br />Plans Chk. Fee: <br /> <br />No. of Stories: <br /> <br />Stale Sumha~e: <br /> <br />Basement; ,. . Septic Permit Fee-' <br /> <br />Ty~e of RooT: ............ Total Fees: .... [5 f00 <br /> No. ': <br /> <br />/ agr~ ~ build a~l~ ~ t~ ~bm~ plans a~ ~ffbt/~s, ~ la~ of ~e ~ of O~n and ee O~ina~s of <br />C~nW, ~rmlt expir~ If ~rk not ~m~flC~ wi~i~ 1~ ~ <br /> <br />SIGNATURE OF APPLICANT: <br />VALIDATIONS; <br />ZONING ~~._ SEPTIC TANK <br />~ ~ J -- By; <br /> <br />REMARKS <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: 588.~036 <br /> <br /> <br />