Laserfiche WebLink
TUESDAY <br />Appl. Reed: <br /> <br />By; <br /> <br />2-7-84 <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br />Senator Building # 225 <br />220 High St,, N.E. 2nd Floor <br /> Salem. Oregon 97301 <br /> <br /> 588-5147 - 588-5148 <br />5:00 P.M,- ........... CODE-A-Phone 588-5373 ........... 8:00 A,M. <br /> <br />Type of Permit: WOOD~TO~ TN MOB3:~E; HOME; Tax Lot No: <br /> <br />Address: .... ~185 ~D~ RD SI A~LLC ............ Sec. ' Twnshp. ___Rge. <br /> <br /> ~ SM~H 769-5451 PO <br />Owner: Phone: ~dress:, <br /> <br />BIdr. & No.: WAYNE STOYER Phone: Address: , <br /> <br />Plans by: Phone: Address: <br /> Map Page ' Zone Zone Chg. F~'t. '" Cond. Use Variance I Fire Zone I Occupancy I Tyee of Const, <br /> I <br /> <br />97385 <br /> <br />Lot No,; ,_BIk. No.: .... Sub dy. <br />Area of Bidg- 2nd Base- Total <br />Main Fir,: Fir,: , ment: Area, <br /> <br />Lot Size ....... Corner?.__ <br /> <br /> Valuation;_ <br /> Bldg. Permit <br />Roof Type: Truss/Stick! Fee: ( + 5%) <br />Heating Wood Water <br />System: Stove: Y~S Supply: Elect. Fee:- <br /> <br />Septic Tank Flew <br />Site Eval: ,. Instal.~ Mech. Fee=- '17.50 <br /> <br />Exist, No. ~ <br />System- , .... Gals,. Plumb, Fee: ,., <br /> State .70 <br />VALIDATIONS: Surcharge: ...... <br /> <br />Zoning: Mechani.cab, ~ ~/~//Z/ <br />Oate~ _._ Date, ~' Z~//' ;..~ Plans Chk, Fee,___ <br />5eptic Tank: Plans; ' -~-~ .... Septic Tank <br />Date: ..... __Date: ,,, Permit Fee: , ,, <br /> <br />I agree to build according to the submitted plans and specifications, the laws of the State OEQ Surcharge: <br />of Oregon and the Ordinances of Marion County, Permit expires if work not commenced <br />with;n 180 days. I further expressly warrant that I comply with the provisions of ORS TOTAL FEE:____ 18~20 <br />701.005 te 701. 125 because: y(-~--~ d <br />( ~ I am performing work on a property I own or occupy RECEIPT NO.: ..... <br /> <br />( ) I am a 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 thl~ appbbatiot; itl its entirety and certify theft the stated informati~t~ is true and correct to the best of rny knowledge. <br /> <br /> PLEASE NOTE: Driveway and sidewa, lk inspect?on~;;~uired by Public Works: 588.5036 Other permits reguired by this dept; Plumbing [] Electrical [] <br /> <br /> <br />