Laserfiche WebLink
MARION COUNTY <br /> <br />A/pt, Revd: <br /> <br />Date: <br /> <br />DEPT. OF BUILDING INSPECTION <br />Senator Building # 225 <br />220 High St., N.E. 2nd Floor Permit No. <br />Satem, Oregon 97301 <br />R.H. WiTHROW, BLDG. ADMINISTRATOR By: <br />588-5147 - 588-5148 <br /> <br /> Date: <br /> <br />0 w n e ~~~/~h o ~.~_e: -~=~ Address: .. <br />Bfdr.&No'.~,~'x~--,*7~--~;~Z-) Phone: ~'/~-/~'-- ?.Address: r~'~"~-~.~ <br /> <br />Plans by: ,~ Phone: Address: <br /> <br /> Map Page ~.~ Zone Chg, <br /> <br />Lot No: BIk. No: <br />Water Supply; ~ <br />Sewage ~ Site <br />Disposal; . Eval: <br /> <br /> ~, o. <br />Area of Bldg; d~ ~/z~;ories: ..... <br /> Roof <br />Basement; . ~'~ <br /> Type: <br /> <br />Heating <br />System: <br /> <br />BTU: <br /> <br />Twnshp. __Rge. <br /> <br />~art. Cond. Use Variance ' Fire Zone Occupancy "' Type of Const. <br /> <br />Sub dy. <br /> <br />Valuation: <br /> <br />Permit Fee~ <br /> <br />State Surcharge: <br /> <br />Plans Chk, Fee; <br /> <br />Septic Permit Fee: <br /> <br />Total Fees: <br /> <br />VALIDATIONS: <br />ZONING SEPTIC TANK PLANS <br /> <br />Dete: Date: Date: 7 <br /> <br />I agree rd build according to the submitted plans and specifications, the laws of the Stare of Oregon and the Orldnances of Mar/on <br />County. Permit expires if work not commenced within 120 days. I furhter axpreasly warrant that I comply with the provisions of ORS <br />701,005 to 701,125 because: <br />( ) ..~llarn a registered builder or ( ) the authorized representative ora registered builder <br />(~' The work wHI be performed by a registered builder <br />( ) I am performing work on a property I own or occupy <br />( ] Other (please spec/fy) <br /> <br />REMARKS: <br /> <br />SIGNATURE OF APPLICANT; ~ /'~' /~)~'~. <br />PLEASE NOTE: Driveway and sidewalk inspecti(~s are required Dy Public Works; 588-5036 <br />Other permits required by this dept: Plumbing [] Electrlcal [] <br /> <br /> <br />