Laserfiche WebLink
dm <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Buildlng # 225 <br /> 220 High St., N.E. 2nd Floor <br /> Salem, Oregon 97301 <br /> <br /> 588-5147 - 588-5148 <br />[3~te~, ]/] "'/5_ 500 P.M,- ........... CODE-A-Phone 588-5373 ........... 8:00 AM, <br /> <br />Type of Permlt: ~ddJ, ng 1 bed~-ooz% 1/2 b~:th & ,living room <br /> <br />Address; <br /> <br />~ <br /> <br />.Tax Lot No;; <br /> <br /> 10704 S,Jlv~!r .... ' ~'ls }-kvT~ 5. £. Aumsville ~ Sec. /l__Twnshp. <br /> <br />Bldr, & No.: ' Phone: ~ Address;, <br />Plans by" s~ma Phone; Address,', <br /> <br />Lot No: <br /> <br />Water Supply;; <br /> <br />Sewage <br />Disposal; ~ <br /> <br />Area of 81dg; 750 <br /> <br />.BIk. No;; Sub dy, Lot Size__ Corner? <br /> Valuation: $ ~- 7 ~ 298. bid <br /> <br /> Site 116. C 5 <br /> ~vah Permit Fee: ........... <br /> No, <br /> Stodes~ ...... Sta%e Surcharge: <br /> Roof 7~ ~ ~ - <br /> <br /> Total Fees: /~2/~ <br /> <br />Heating <br />System; <br /> <br />BTU: <br /> <br />ZONING t~, SEPTIC PLANS <br />~ I ~-~ B~ I//~'t./~ sv:: , <br /> <br />I agree tO build ac¢ord/~ to ae submitted p/ann and ~/f/Catlons, ~e /a~ of the ~tate of Or,on end the Or/dnances of Maribn <br />County. Permit expires if work not commenc~ with/n 120 days, I furhter expressly warrant that I comp/y with the ~rovzs/ons of ORS <br />701~5 to 701 125 becau~; <br />( ) I a~ a r~istered build~ or ( ) the au~otized r~re~ntative of a y~i~ter~ bo#der <br />( ) The ~rk will be pefform~ by a r~istered builder <br />( ) I am performlnE work On a property / own or Occupy <br />( ) Other (p/ease ~p~ify) <br /> <br />REMARKS;: .................... <br /> <br />I haas read tt~i$ ~l)x~hc~t)On iD its entlYety and certify that the stated informatio~ i$ true and correct to the best of my knowl~ge <br />SIGNATURE OF APPLICANT::~ ~ ~~ <br /> PLEASE NOTE Driveway and sidewalk inspections are required by Public Works B88-5036 <br /> Other permits required by this dept: Plumbing ~ Electrical ~ <br /> <br /> <br />