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AppL R'cvd. <br /> <br />By: v~,~ <br />Date: 11/17/76 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> 3180 Center St., N,E, <br /> Salem, Oregon 97301 <br />R.H. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 - 588-5148 <br /> <br /> Permit Number <br /> <br />By: <br /> <br />Bidg. Permit: ADDTTION TO RESIDENCE <br /> <br />Location Permit: <br /> <br />Address; ]05~7 STAYTON RD. SE. <br /> <br />Owner: FRANC~S MYERS <br /> <br />Bldr, & No.: SAME <br /> <br />Phoge: 759"942;0, -~ Add ress; ......,.~ 5 <br />Phone:, Address:. <br /> <br /> City: AUMSVI LLE <br /> <br />F~ORENCE ST. ~AYTON <br /> <br />Plans by: ~IvIE Phone: <br /> <br />Use of Bldg.: "' [ <br /> SlNGL~ FAMILY R~SIDENC[ <br /> <br />Lot No: BIk, No; Water Supply:. <br /> <br />Address:. <br /> <br />WELL Sewage SEPTTC Feas. <br /> Disposal: ...... Study? <br /> <br />Type of Const. <br /> <br />Sub dy. <br /> <br />Size of Lot: <br /> <br />Area of BIdg: <br /> <br />1 ACRE <br /> <br />288 sq. FT. <br /> <br />Corner? <br /> <br />Valuation: -~ Z~0~O(~ <br />Permit Fee~ ~a: 50 <br />Plans Chk. Fee: <br /> <br />No. of Stories; ONE <br />Basement: NO <br /> <br />Type of Roof: ........... CO~. TRUSSES <br /> <br />State Surcharge: _(%9 <br />Septic Permit Fee: <br /> <br />Total Fees: 31-~2 <br /> Rept, No. <br /> <br />I agree to build according to the submitted p/aha and speciflcatlona, the laws of the State of Oregon and the Ordinances of Mar/on <br />County, Permit expires if work not ~omm~ced w/thin 120 days, <br />S{GNATURE OF APPLICANT:~ ~"~'~ <br />VALIDATIONS: <br /> <br />ZONING ~ SEPTIC TANK <br /> - ........ <br /> <br />Date: -~/"-1~[~:~" Date: <br /> <br />REMARKS <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: 588-5036 <br /> Other permits required by this dept: Plumbing ~ <br /> <br /> <br />