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'~pl, Reed,,,
<br />~: ~y~
<br /> Date:~
<br />
<br /> MARION coUNTY
<br />DEPT. OF BUILDING INSPECTION
<br />Senator Building #225
<br />220 High St,,, N,E. 2nd Floor
<br /> Salem, Oregon 97301
<br />
<br /> $6-787
<br />Permit No,;.
<br />
<br /> Patty
<br />By:
<br />
<br /> 588-5147--588-5148
<br />5;00P,M .......................... CODE-A-Phone ................. 8:00 A,M Date: 8-11-86
<br />
<br />Type of Permit:~f3~TmT~N' ~~ ~"~(~t'~'~'"~i __Tax LOt No,: ..... ~
<br />Address:-- 7742 '~'E/~:~; L~.~ SE .AUM$~-~LLE 973,2~ Sec :: ~;~Twnshp:_ ~J~ge
<br />
<br />Owner: JIM ENGLAND Phone:_ Address:
<br />
<br /> ADRIAN JJ~E~S 585-8095 Address:-
<br />Bidr & NO' Phonet
<br />
<br />Plans by:: ......
<br />
<br /> u~o ~ e~ bedroom & lposs.
<br />
<br /> ? 2
<br />LOt No::~ Fl[k,, NO,~ Sub, dy.:_
<br />
<br />Area of Bldg, 2nd Base-
<br />Main Fir .... Fir.: ment:
<br />
<br /> Phoile:.
<br />
<br />, o~ o~. LO,,, 2 ex~s~ s.t~,
<br /> TERF~ NCE
<br />
<br />Roof Type~ Truss/Stick:
<br />Heating W¢~L HE~ :T~°d NO
<br />System: .Stove:
<br />Septic Tank New
<br />Site Eva),;: ,
<br />Exist Y~;,S NO,,
<br />System __ ..... Gels.:
<br />
<br /> Total
<br /> Area;:
<br />
<br />sTICK
<br /> ..... .Height ......
<br />Water ~,,;~[;b
<br />Supply ........
<br />
<br />.Ad~ress;
<br />
<br />VALIDATIONS
<br />Zoning',..~ ~¢. ,~ ~..~----'~w,~--')-~-~ .~ Mechanical:
<br />
<br />Oate'; __-~ o ¢ ~ Da~%/ , ~ .......
<br />
<br />I agree to build ac¢or¢ing to the ~uDmltt¢d ~lans and ~p~ifmatfon~, the Iowa of the
<br />State of Oregon and the Otdlnan¢¢¢ of Mar~on Count,, PERMIT ~XPiRES IF WORK
<br />NOT COMMEN~ED W/THIN 180 DA YS, I further expressly w~rrant that I com¢ly ~ith
<br />the provisions of ORS 701 005 to 701 125 ~ecause:'
<br />
<br />( ) I a~ performing work on a property I OWn
<br /> er occupy
<br />( ) I em a registered builder OR ( ) the
<br /> authorized representative of e
<br /> registered builder
<br />
<br />The work will be performed
<br />by a registered builder
<br />Other (p/eaSe specify)
<br />
<br />8795 JOEL~ CT
<br />
<br /> ,, Lot Size: 165x228Comer? NO
<br />
<br />240 sq ft
<br /> Valuation:__,, 4~ 440, O0
<br /> Bids Permit 50.50
<br /> Fee:: (+ 5%) ,,. 2.53
<br />
<br />Elegt, Fee;
<br />
<br />Math, Fee; 3;~ _
<br />
<br />Plumb. Fee: ,,
<br />State
<br />Surcharge: (4%)
<br /> fleet
<br />
<br />Plans Chk,, Fee; ......
<br />Septic Tank
<br />Permit Fee;
<br />
<br />2,02
<br />
<br /> 3.84
<br />32.83
<br />
<br />OEO Surcharge: 5.00
<br />
<br />TOTAL FEE: !5~72
<br />
<br />RECEIPT NOj ~~:~-
<br />Driveway
<br />Permit Fee:
<br />Site Plan
<br />Review Fee:
<br />Public Works
<br />Receipt NO,~
<br />
<br />REMARKS"
<br />
<br />have read this application in its entirety and certify that the orated information is true and correct to the be~t of my knowledge
<br />
<br /> PLEASE NOTE Driveway and sidewalk Insp~cti~h are required by Public Works: 568~§036
<br /> Other permits required by this dept,,; Plumbing [3 Electrical [] Mechanical [3
<br />
<br />
<br />
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