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~r~ay <br />Appl,j%vb ............ <br /> <br />AUg. 2~; ~978 <br /> <br />Type of Permit: <br /> <br /> raA~ION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> DownTown ~en~tor ~Build[ng <br /> ~O High St_, N.E. ~d Flor <br /> ~lem, Or,on 97301 <br />R.~, WlTH~OW, BLDG, ADMINI~RATOR <br />6~5147 -- ~88-~148 <br /> <br />Address; Rt. 1 ~:~x248 ~R- <br /> <br />81dr, 8( No.: : saree <br /> <br />678-1222 <br /> <br />Phone: Address: <br /> <br />Phone: Addre~: <br /> : MIn R~. Fro <br /> <br />Lot No; Bik, NO: ~ , __ Sub dy, <br /> <br />Lot, Size~;~ .... ----~ __Corner? _ ........ <br /> <br />Water Supply:__teml! ........ Valu~tem ~ ~ <br />Sewag~ Fe~L~. <br />Disposal: ..-~a~'~2.~Study, ~__~.:~.- see ]~t~-~q:~e: <br /> <br /> 8 x 45 No. <br />Area of Blclg.' Stories: <br /> <br /> F[oof <br />8a~emeat. ~ : : Type: ~ <br />Heating <br /> <br />State Surcharge: <br /> <br />Plane Chk. Fee: <br /> <br />~ ~eptic Permit Fee: <br /> <br />37.50 <br /> <br />BTU; .... . __ Total Fees: .... 53,10_ <br /> <br />/ alltae ~0 build a~i~ to ~e ~bmit~ pla~ a~ ~ifi~tl~$, ~/a~ of the ~ of Oran and gle Oral/nan,s o/M~r/on <br /> <br />/0NING ~. SEPTIC TA~ A ~ P~N~ <br />~_ .._~ <br /> .... - .... <br /> REMAR~ .~ ' <br /> <br /> O~her ~mits r~uked bV ~is de~: Plu~i~ <br /> <br /> <br />