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- / - o° M^R,o. COU.TV <br /> DEPT, OF BUILDING INSPECTION <br /> ~ena~t Building # 225 <br />Appl. Kecd~ .,, 220 High St,. N.E. 2~1d Float Pa~mit No. <br /> Salem, Oregon 97301 <br />By-' cr By: <br /> 588-6147 - ~88-5148 <br /> <br /> Data: b~.l ,~6_~L~ 5:00 P.M.- ......... CODE-A,Phone ~4~5373 ........... 8:~ A.M. Date: <br /> <br />, Ty~ of Permit: ~O~ ~O~ ~AT,: ~T~ ~ ~~ Lot <br /> <br /> Owner: ~C~ ,~ ~o~: 67~1~ ~: ~,~e <br /> <br />84-782 <br /> <br />cr <br /> <br /> 5-17-84 <br /> <br />Bldr. & NO,: p~i~ate <br /> <br />Phone: ~ Address: <br /> <br />Lof Ne.:_=.___..__..-Slk0 No,~ <br />Are~ of 8tdg~ 2 nd <br />M0in Rr,~__ Fir.:__ <br /> <br />Su6dv ....... Le~ Size ~ A~ Cc~ner?.__ <br />Base- Total <br />ment~ Are~? ].2 x ~ V~l~tion, <br /> ~g. Permit <br /> Fee: ( + 5%) <br /> <br />Roof Type; Tr v~,$/Stick:, . <br />He~fing Wood Wafer <br />System:~_~ Stove: Supply: <br />Septic Tank <br />Site ~1: Instal.=~ <br /> <br />I ag~e to build ~ccordlng to the subm;ttocl plans and sp~ifi~t~ns, ~ la~ of ~e ~ <br />of ~egon ~ ~e O~inances of Marion County- Permit expi~ if ~rk ~t ~m~ed <br />w;thln 180 day& I ~her expressly ~ar~ant ~at I complx w~th ~e p~vislons of ORS <br />701,005 ~ 701. ~25 ~cause: <br />( ) I om ~rforming ~rk on a property I own or ~upy <br /> ) I om o reg.stered budder OR ( ) the authorized <br /> representotlve of a teg*~md bu~lde~ <br /> <br />Elect. Feet <br /> <br />Mech. Fee~ <br /> <br />Plumb~ Fee: ..... <br /> <br />Surcharge: <br /> <br /> Plans Chk, Feo~ <br /> Septic Tank : ~.O0 <br /> Permit Fee~ .... ~ '~. 00 <br /> <br /> DEQ Surcharge~ ~.0 ~ OO <br /> TOTAL FFEt ~' <br /> RECEIP~ ~0.~~ <br />( ~ TM w~k ~11 ~ ~rmd by a ~g~ter~ budder <br /> <br />REMARKS:; <br /> <br />PLEBE NO~ OHv~ay a~ si~alk ins~ons are require by Pubhc Works ~36 ./,~ <br /> Other ~rmits r~uir~ by th~s dept: Plumbing ~ El~trlcal ~ <br /> <br /> <br />