Laserfiche WebLink
AppL Rec& TUESDgY <br />8y: PATTY <br /> <br />Date: 7-16-85 <br /> <br /> MARION COUNTY <br /> DEPT, OF BUILDING iNSPECTION <br /> Senator Building # 225 <br /> 220 High St,. N,E. 2nd Floor Permit No. $5-755 <br /> Salem, Oregon 97301 <br /> By: pat tt/~ <br /> 588-5147 - 588-5148 <br />5:00 P.M.- ........... CODE-A-Phone 588-5373 ........... 8:00 A.M. <br /> Date: 7-25-$5 <br /> <br />Type of Permit: P~NS CHE~ ONgY FOB. INTERIOR Rg~JOD~tL .Tax Lot No: <br />Address: ........ 572 N. ].lth A~ AUMSVILLE Sec,~Twnshp., ~ Rge, ~ <br /> <br />Owner: AUMSVILLE ELE~NTARY SCHedUle: Add.ss: <br /> <br />Bldr. & No.: ....... Phone: Address:. <br /> <br />Plansby: GREGORY ACKER Phone: 621-3972 Address: 17819 NW SKYLINE BLeD POR/"~AND <br /> MapPage I Zone I ZoneChg. I P.rt. Cond. U~e Vmr,n~ ) FireZone O~upancy ' Tyoe of Con~. 9/Z31 <br /> <br /> No Bdrm~ Mi, R~. Front $1d~ R~r <br /> INTERIOR ~MODEL <br /> <br />Lot No.: SIk. No.: Sub dv. <br />Area of Bldg, 2nd Sase. Total <br />Main Fir,: Fir.: lent: Area: <br /> <br />Lot Size Corner?__ <br /> <br />Valuation: 11~000.00 <br />Bldg, Permit <br />Fee: (+ 5%) <br /> <br />Roof Type: Truss/Stick: ............. <br />Heating Wood Water <br />System: Stove: Supply: <br />Septic Tank New <br />Site Evah Instal.:. <br />Exist, No. <br />System: .............. Gals.: Plumb. Fee: <br /> State <br />VALIDATIONS: Surcharge: <br />Zoning: Mechan,¢ah <br />Date, .......... Oate~ [~ ~,~c~,,'-'~-- c,.~'-~ Plans Chk. Fee: 56.23 _. <br /> <br />Date: .......... :, '~-~ '~ -~ ~' Permit Fee: <br /> <br />Elect, Fee~ <br /> <br />Mech. Fee:. <br /> <br />I agree to build according to the submitted plans and specifications, the laws of the State DEQ Surcharge: <br />of Oregon and the Ordinances of Marian County. Permit expires if work not commenced <br />within 180 days, I further expressly warrant that I comply with the provisions of ORS TOTAL FEE- 56.23 <br />701,005 to 701,12,6 because~ <br />( ) I am performing work on a property I own or occupy RECEIPT NO.: 0104 <br />( ) I am o registered builder OR ( ) the authorized ( ) The work will be performed by a registered builder <br /> representative of a registered builder ( ) Other (please specify) <br /> <br />REMARKS: <br /> <br />I have read this app/l~at/or~ in /ts entirety and certify that the stated /nformation is true and correct to the best of my know/edge, <br />SIGNATURE OF APPLICANI' <br /> <br />PLEASE NOTE; Driveway and sidewalk inspections are requirsd by Public Works: 588-5036 <br />Other permits required by this dept; Plumbing [] Elect'rlcal [] <br /> <br /> <br />