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Appl. Recd.: _ <br />B y: P A T'r"~' <br />Date: <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building #P25 <br /> 220 High St,, N.E, 2nd Floor <br /> Salem, Oregon 97301 <br /> <br /> 588-5147 -- 588-6148 <br /> 5;00 P,M ....................... CODE-A-Phone ...................... 8:00 A,M, <br />10-24-85 <br /> <br />Type of Permit: <br /> <br />EXISTi~',G SYS~Ebd: REPORT FOR LOAN <br /> <br />Tax Lot No.:_ <br /> <br />Address: 21533 LIBERTY ST NE AURORA <br /> <br />Twnahp,: <br /> <br />_Rge,; <br /> <br />Owner: ~ BERNADETTE BREU .Phone: <br /> <br />Addreas: <br /> <br />Bldr, & No.: IiAY LARRO <br /> <br />Phone: 657-9648 Address: 733 SE let ~ 99E CANDY 97013 <br /> <br />Plans by: <br /> Map Page I acne Zone Change <br /> <br /> I <br /> UseofB~dg.: <br /> RESIDENCE <br /> <br />.Phone: Address: <br />Part. ' "" Co.d. Use , Variance/Adj. FT/FO ,, Occupancy ,, TySe of Con~t. <br /> NOi Bdrms,.~ t Min Req, Front $1¢e$ Rear <br /> <br />Lot NO.: Blk. NO,: <br />Area of Bldg, 2nd <br />Main Fir.: Fir,; <br /> <br />Sub. dy.:_ LotSize:. 82x190 .Corner? NO <br />Base- Total <br />meet: Area: Valuation: <br /> Bids, Permit <br /> ,Height: Fee: (+ <br /> <br /> _Supply: CTT¥ Elect, Fee:_ <br /> <br />Roof Type: Truss/Stick:. <br />Heating Wood <br />System; .Stove: <br />Septic Tank New <br />Site Eval,; ...... Instal,: <br />Exist, No, <br />System: YES _Gels.: <br /> <br />700 gallone <br /> <br />VALIDATIONS: <br />Zoning: Mechanical: <br />Date: ~ I., Date: <br />Septic Tank',[ie../~ f0-~ Plans: <br />Date: __ ,~? Date: <br /> <br />Mech, Fee- <br /> <br />Plumb, Pea: <br />State <br />Su rcharge:~.(4%) <br /> <br />Plans Chk. Fee: <br />Septic Tank <br />Permit Fee: <br /> <br />60.00 <br /> <br />I agree to build according to the submitted plans end specifications, the laws of the <br />State of Oregon and the Ordinances of Marion County, PERMIT EXPIRES IF WORK <br />NOT COMMENCED WITHIN 180 DA YS. I further expressly warrant that I comply with <br />the provisions of ORS 701.005 to 701.125 because: <br /> <br />I am performing work on a property I own <br />or occupy <br />I am a registered builder OR ( ) the <br />authorized representative of a <br />registered builder <br /> <br />( ) The work will be performed <br /> by e registered builder <br />( ) Other (please specify) <br /> <br />DEQ Surcharge: <br />TOTAL FEE: 60.00 <br /> <br />RECEIPT NO.: .... <br />Driveway <br />Permit Fee: <br />Site Plan <br />Review Fee: <br />Public Works <br />Receipt No.: <br /> <br />REMARKS; <br /> <br />I have read this application in its entirety and/certify that the stated information is true and correct to the best of my knowledge, <br /> <br /> PLEASE NOTE: Driveway and sidewalk inspect on are requ red by Pub c Works: 588-5036 <br /> Other permits required by this dept,: Plumbing O Electrical n Mechanical [] <br /> <br /> <br />