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MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> <br /> 220 High St., N.E, 2nd Floor Permit <br /> G.] Salem, Oregon 97301 <br />By; __ R-~. WITHROW, BLDG. ADM{NISTRATOR By: ~ <br /> 8/18/77 588-5147 - 588-5148 <br /> <br />'Type of Permit: <br /> <br />.Tax Lot No; <br /> <br />Address;_,, 10577 St*yton lload, Aumsville, OR <br /> <br />Owner: Oeorge Dictarich Phone: 769-2707 <br />Bldr~ & NO.:__,~e]'f Phone;_ <br /> <br /> Sec. _ Twnshp. _. Rge. __ <br /> <br />Address:_ 1624 ~.W. Wsshi::l:;~on~ St~yton <br /> <br />Address;_ <br /> <br />Plans by: Phone; Address; <br /> <br />Use of Bldg,: Min Req. Front <br /> l/~:[ltty room Setbacks: <br /> <br />Lot No: .._8lk. No: Sub dv. <br /> <br />Lot S~ze -", acre Corner? __ <br /> <br />Water Supply; Valuation; .... <br />Sewage Fees. <br />Disposal; Study; Permit Fee:~ <br /> No. <br />Area of Bldg: 220:;F __ Stories; __ State Surcharge: <br /> Roof <br />BasamenC Type; Plans Chk, Fee; <br />Heating <br />System: __ Septic Permit Fee; <br /> <br />$ 480.00 <br /> <br /> 5.00 <br /> <br /> .20 <br /> <br />BTU: <br /> <br />Total Fees: 5.20 <br /> <br />I agree to bo/Id according to the submitted plans end specifications, the I~ws of the State of Oregon and the Ordinances of Mar/on <br />County. Permit expires if work not como~enced within 120 day~-~ <br /> <br />S eNATUR OF APP CANT: / <br />VALIDATIONS; <br /> <br />ZONING SEPTIC TANK PLANS <br />REMARKS <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works; 588-~036 <br />Other permits required by this dept: Plumbing E~ Elec[rical [] <br /> <br /> <br />