Laserfiche WebLink
AppL Revd; <br /> <br />By; <br /> <br />Date: <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building # 225 <br /> 220 High St., N.E. 2nd Floor Permit No. <br /> Salem, Oregon 97301 <br /> R.H. WiTHROW, BLDG. ADMINISTRATOR <br /> 588-5147 -- 588-5148 <br />5:00 P.M.- ........... CODE-A.Phone 588-B373 ........... 8;00 A.M. <br /> Date: <br /> <br />Type of Parmlt: LL~£T,,,ZIqIN:3 ,,,,,LL -F~ .Tax Lot No; <br />Address:;;[BO'? OL%L~t~ L, '~L;, NE C~~ ~ ~¢~ Sec. Twnshp._ <br /> <br />Bldr. & No ..... ~ Phone: Address: <br /> <br />_Rge. <br /> <br />Plans by: phone: Address: <br /> <br /> Map Page ¢~ [ Zone Chg. Pert. Cond. Use Variance Fire Zone OccuPancy Type of Const, <br /> <br /> No Bdrms. Din Req. Front Sides Rear <br />Use of BId~l.; or O¢c. Ld; Setbacks; <br /> <br /> No:31 _. 96X90 ~ <br />Lot No: .Blk. Sub d~ C'i;:~T"~/!!~¥ ~h,:, Iw';','~ -~/:'~ I~ot :~ ze __~ornerr ~¢E¢, <br /> \\ <br /> Valuation; $ 1000.00 <br /> <br /> Site ~ ~ lO. 00 <br /> Evah ~ Permit Fee; <br /> <br /> Stories: State Surcharge: <br /> <br /> Total Fees: ~ 10~0 <br /> <br />  TIC TANK PLANS <br /> By: By: <br /> Date: Date: <br /> <br />Water Supply: <br /> <br />Sewage <br />Disposak <br /> <br />Area of Bidg; <br /> <br />Heating <br />System; <br /> <br />BTU; <br /> <br />VALIDATIONS: <br />ZONING <br /> <br />Date: <br /> <br /> / agree to bugd according to the submitted plans and specifications, the laws of the State of OreEon and the Orldnances of/V/ar/on <br />unty, Permit expires if work not commenced within 120 days, I furhter expressly warrant that I comply with the provision~- of ORS <br /> 1.00E to 701.125 because: <br /> } I ~rn a registered builder or ( ) the authorized representative of e re~listered builder <br /> The work will be performed by a registered builder <br /> I am performing work on a property I own or occupy <br /> ( ) Other (p/ease spec/fy) <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 know/edge, <br /> <br /> PLEASE NOTE; Driveway and sidewalk i~ctlons are required by Public Works: B88-5036 <br /> Other permits required by this dept; Plumbing [] Electrical [] <br /> <br /> <br />