Laserfiche WebLink
Appl, Recd: <br /> <br /> MARION COUNTY <br />DEPT. OF BUiLDiNG INSPECTION <br />Senator Building # 225 <br />220 High St,, N,E. 2nd Floor <br /> Salem, amgen 97301 <br /> <br />Use of lildg,: <br /> <br /> 588-5147 -- 588-5148 <br />5;00 P,M.- ........... CODE-A-Phone 588-5373 ........... 8:00 A,M, <br /> <br />Tax Lot No: <br /> <br />Permit No. ~ <br /> <br />o.,..;.. 7-/? <br /> <br />Owner: <br /> <br />?lans b~: Phono: <br /> Map Page Zone Zone Chg. ,,,.,.~,7~,7. C°nd'U~ I Vartan~, Fire Z°ne I <br /> No Bdrms. MIn R~, Front <br /> <br />Sec. ,Twnshp, __Rge, <br /> <br /> /o ¢',¢/ 573: 4 <br /> <br />Occupar~cy Type of Const, <br /> <br />Lot No.:__BIk. No.: Sub dv. <br />Area of Bldg. 2nd Base- Total <br />Main Fir,; Fir , ment- Area:, <br /> <br />Roof Type: <br />Heating Wood <br />System: Stove: <br />Septic Tank New <br />Site Eval: __ Instal . <br />Exist, No. <br />System~ Gals . <br /> <br />Truss/Stick: <br /> <br />Lot Size <br /> <br />Water <br />Supply:_ <br /> <br />Valuation: <br />Bide, Permit <br />Fee: :~til~l~'}_ <br /> <br />Mech. Fee: ........ <br /> <br />Plumb, Fee: ...... <br />State <br />Surcharge: ' ~) <br /> <br />VALIDATIONS: <br />Zoning: Mechanical: <br />Date: Date: Plans Chk, Fee: <br />Septic Tank: Plans: Septic Tank <br />Dote: Date: Permit 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 Marion County, Permit expires if work not commenced <br />within 180 days. I further expre,sly warrant that I comply with the provlslon~ of ORS TOTAL FEE: ~';")'(.,J"~Y() .... <br />701,005 to 701,125 because; <br />( )1 am performing work on a property I own or occupy RECEIPT NO.: .~ ~ .-- ¢:~ ~ .5,-~'- ' <br /> <br />( ) I om o regls~red builder O~ ( ) the authorized ( ) The wa& will be performed by o regisfered builder <br /> representative of o regbtered builder ( ) Other (pledse specify) <br /> <br />REMARKS: <br /> <br />I have read this application itt its entirety and certify that the Stated /nformatJ~ /~ true ettd correct to the best of my knowledge, <br /> <br /> PLEASE <br /> NOTE; <br /> Driveway and sidewalk inspections are required }~ublic Works: 588-5036 <br /> Other permits required by this dept; Plumbing ~J Electrical E~] <br /> <br /> <br />