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Appl, Revd: , <br /> <br />Type of Permit: <br /> <br /> MARION COUNTY <br /> DEFT. OF BUILDING INSPECTION <br /> · Senator Building #2')~ <br /> 220 High St. N.E. 2nd Floor <br /> Salem, Oregon 97301 <br /> R.H. wITHROW. BLDG. ADMINISTRATOR <br /> 588.$147 -- 588-5148 <br />5;00 P,M.- ......... COOE-A-Phone I~R.5373 .......... 8;00 A.M. <br /> <br />Owner: <br /> <br />Phone: <br /> <br />Tax LOt No; , <br /> <br />Sec_ ~nshp. ._ <br /> <br />Address: <br /> <br />Min <br /> <br /> F <br /> <br /> ....... Lot Size <br /> <br />Water SupplY: , ,,;;~9 I ....... Valuation: <br />Saw e <br />Dispo~l: ~,?~:4 c --, ival: <br /> NO. <br />Area of Bldg: ~1 AP ~ ~:~-, _ .r~_ Stories: .... ~ ,._ S~e Surcharge; <br /> Roof <br />Savant; ~:h Ty~: ~,, Plans Chk. Fee: <br /> <br />Sys~m: ........... ~ptic Permit F~: <br />BTU; - To~l F~: <br /> <br />VALIDAT~?{~S: <br />ZONING ~/' SE,PTI PLANS <br /> <br />I ~t~ to build ~i~ ~ the ~bmit~ plan= a~ ~ificatlOm, ~e la~ Of ~e S~te of O~n a~ ~e Orid~nces Of M~ion <br />CounW. P~mit exp~es if ~k not ~mme~ within i~ days. I fu~ ex~r~y warr~t ~a~ I c~PlY wt:h ~e provisions of ORS <br />70~,~ ~ 701.125 ~au~: <br />{ ) lama~i~e~/~eror{ ) ~e~r/z~r~re~n=ti~ofar~is~er~buiid~ <br />( ) The ~k will ~ pe~ by a r~i~rg build~ <br />( ) I am p~for~i~ ~ on a p~pe~ I ow~ or ~upy <br />( ) Oth~(pl~ <br /> <br /> REMARKS: .................... , , <br /> <br />/have ,~d ~h/a *l~pli~ation in i~ ~ti?e~/ ~ ~ify t~e/t~t~l informatiofl is ~ue ~ c~t to the ~s~ of my k~wl~ge. <br /> <br /> ~r ~rmlt~ r~U r~ by ~is dept'. Plumbing ~ ~I~t;'~al ~ ........ ~', . .~,~ ~ <br /> <br /> <br />