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AppI. Red: __ <br /> <br /> Del;tie <br /> <br />pat,: <br /> <br /> MARION COUNTY <br /> DEFT. OF BUILDING INSPECTION <br /> ~enat~ Building # 225 <br /> 220 High St.. N.E0 2nd Floor <br /> Salem, Oregon 97301 <br /> <br /> 588-5147 - 58~514~ <br />5:00 P.M.- .......... CO{~E-A-Phone 58~537:3 ......... 8:00 A.M. <br /> <br /> Tax Lot No: <br /> <br />, Address: ~axae <br /> <br />8/dr_ & N~.: sa~e ~a:~ne: Addre~: <br /> <br />Plans by; Phone: <br /> <br /> ,, ..... <br />~ garage E, e~:ore~e ~ o¢~. ba~ <br /> <br />Lot No.-~ RIk. Ne.: .... Sub dy. <br /> <br />Area ~ Sk~- 2nd Sase- Total <br />A~in FIr.~ Fir,, menr~ A~O~ <br /> concret floOZ' 12' 7" hi~ to pitch <br /> <br />H~ting W~ W~r <br />System: ,,, Stave: ..... Supply= , . <br /> <br />Slte e~l; , In~l, <br />Exist <br />System: ....... <br /> <br />VALIDATIONS= <br />Zoning: <br />oo~°- . <br /> <br />~te~ ,, ~ /.F- ~ ~ ..... <br /> <br /> Lo, Size 7© AcreG~ne¢? no <br /> <br />Valuation: ,, ~...~ 900. <br />Btdg_ Permit <br /> <br />E~. ~- , ......aOoe <br />~ech_ ~!, , , <br />Plumb. <br />Sutch~ge~,~ 2. <br /> <br />P~mh ~ee- , ....... <br /> <br />I agree ~ build according to the submitted plon~ and spedfioa~ons, the laws of the St~t~ DI:Q Su~r~: .... <br />of ~eg~ O~ t~ Ordlna~s oF Marion Count. Pe~it expi~s if work ~t ~m~ <br />wi~in 180 da~. I fu~r expressly warrant t~t I ~mply with ~e a~sJon~ ~ ORS TOTAL FEE~.: 1~-02 <br />701.005 ~ 70} ,, ~25 <br />( ) I om ~rming w~k on a proper~ I own or <br />( ) I am a ~gi~tered builder OR ( ) ~ autO,zed ( ) The ~rk w~ll ~ ~rm~ by a ~;s~red builder <br /> repre~ntative of a reg~s~d bu;l~r ( ) Ot~r (pl~ s~fy~ <br /> <br />flEMARK~: .... <br /> <br />I have read thi= application in ira entire¢y and ccrt/fK :hat ~he s~ate~ info~mat/on is true and correct to ~he t~$t of my knowledge, <br /> <br />SIGNATURE OF APPLiCAN'[ · ...... <br /> PLEASE NOTE: Driveway a~¢l sidewalk inspections are required by Public Works: 588-5036 <br /> O~her permits required by this dept; Plumbing [] Electrical [~ <br /> <br /> <br />