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~ Appl Recd' <br /> By <br /> <br />JODY <br /> <br />7/~_9/36 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building #225 <br /> 220 High St., N.E_ 2nd Floor <br /> 8stem, Oregon 97301 <br /> <br /> 588-5147 -- 588-514~ <br />5:00 P.M .................... CODE-A-Phone ................... 8.00 A M. <br /> <br />Date. <br /> <br />Address- <br /> <br />Bldt & NO <br /> <br /> .Tax Lot No,: <br /> J~J~' .,,~,, Sec:__ <br /> [.~IX- 362 2620 <br />Phone: · ~,d~ <br />Pbone., ~ ~Ac~dress- <br /> <br /> 86-765 <br />Permit N~i~ <br /> <br />By:~ <br /> 8-5-86 <br />Date: <br /> <br /> 56506-000 <br /> <br /> _TWr~Shp: __ Pge <br /> <br />2117 NC'.~J L) c2 6,', 9?306 <br /> <br />Pla~ls by: <br /> <br /> ~ <br /> RLSTDi~I',Cq <br /> <br /> Phone .... Address ...... <br /> <br />orOcc Ld. 3 propo~a~t~ie~house / <br /> <br /> , Lot-lze 250 ~ <br /> Total <br /> Area. ~ ~ ~ ~ e valuation:~ <br /> Bldg. Permit 35.00 <br /> Fee (+5%) <br /> <br /> ~0.00 <br /> <br />Lot No BIk. No .... Sub. dv--_ <br />Area of J~ldg, 9nd Base- <br />Main Fir .... Fir.: .... ment.~, <br /> <br />Roof Type: ........ <br />Heating wood <br />System, __. Stove. <br />Septic Tank <br />Site EvaL. <br />EXist. <br />System·,__ <br /> <br />Truss/Stick:~eight- <br /> Water well <br /> Supply' <br /> New <br /> Instal _ <br /> NO. <br /> Gals.: <br /> <br />VALIDATIONS. <br />Zoning- ~ ~ Mechani'cel' <br />Date- 7- <br /> <br />Date ~ . mate; <br /> <br />I agree to build a~¢ordtng to the submitted ~lan$ and spaolfleations, the laWS Of the <br />State of Oregon and the Ordinances Of MariOn County, PERMIT EXPIRES IF WORK <br />NO T COMMENCED WITHIN 180 DA Y$. I further expressly warrant lhat I comply with <br />the p¢ovl~ions of ORS 701.005 to 701,125 because: <br /> <br />( ) I am performing work On a property I own <br /> or occupy <br />( ) I am e registered builder OR ( ) the <br /> authorized ~epresentalive of a <br /> registered b~lllder <br /> <br />( ) The work will be performed <br /> by e registered builder <br />( ) othe/' (please specify) <br /> <br />Mech Fee; <br /> <br />Plumb Fee-__ <br />State <br /> C(4%) 3.00 <br />Plans Chk. Fee: <br />Septic Tank 75. O0 <br />Permit Fee ~ <br /> <br />5.00 <br /> <br />DEQ Sureherge. <br /> <br /> 167.43 <br />TOTAL FEE: , <br />BLD(~ ~ i / <br />.Ec lpT.o., <br /> <br />Permit F~ ~ <br />Site Pla. I ~v- <br />~eview Fee: ~" ' / <br />Public Works ~ <br />Receipt No - <br /> <br />AEMARKS-__ <br /> <br />PLEASE NOTE ~Dr)ve~v;y and sid~k I~'nspection areFrequlced by Public Works. $88-50;36 <br /> <br /> <br />