Laserfiche WebLink
By:. <br /> <br />Date: <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Bui~ing <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 ...................... 8:00 A.M. <br /> <br />Permit No.: 47l ,,,, D.~::DiD <br />By: __ Dottle <br /> <br />Date: 7/28/86 <br /> <br />Type of Permit:. <br /> <br />Address:, <br /> <br />Owner: <br /> <br />Bldr. & NO' <br /> <br />Phone; Address: <br /> <br />Plans by; Phone: Address: <br /> MapPage I Zone Zone Change Part. [ Oond. Use ' Variance/Adj. FT/FD [ Occupancy Type of Con.~t <br /> <br /> .............. i:.~!~i::,,'}-i:~ q! rG'[! ~ _pu ~ ,v'~ .... <br /> <br />Lot NO.: ......... BIk, No ' ____Sub, dy.; <br />Area of Bldg, 2nd Base- Total <br />Main Fir,: Fir' znent: AreA: <br /> <br />Lot <br /> <br />Root Type:.__ Truss/Stick:__ Height; <br />Heating Wood Water <br />System: __ __Stove: __Supply: OIrZ? <br />Septic Tank New <br />Site Eval.: .instal.; <br />Exist, No, <br />System: __Gals.: <br /> <br />VALIBATIONS: <br />Zoning: ..~ ~ /'~ Mechanical: <br />Date: ~/"~ ~ II Date: <br />SeptlcTank:lYj¢' l~,) N [/ Plans: <br />Date ........ 1 '.'L/I --.I'~v*,~.4'~-Z"~'N Date' <br /> <br />I agree to build according to the eubmitted plans and epeeifications, the laws of the <br />State of Oregon and the Ordinances of Marion County, PERMIT EXPIRES IF WORK <br />NO T COMMENC£D WI THIN ~$0 DA YS. I further e~:prea$1y warrant that I comply with <br />the provisions of ORS 701.005 to 701.125 becauae.- <br /> <br />( ) I am performing work on a property I own <br /> or occupy <br />( ) I am a registered builder OR ( ) the <br /> authorized representative of a <br /> registered builder <br /> <br />) The work will be performed <br /> by a registered builder <br />) Other (pleaee specify) <br /> <br />Size: ,5250 ,.¢ :;. ®c~rner? <br /> <br />Valuation: <br />BIdg, Permit <br />Fee: (+ 5%) <br /> <br />Elect. Fee; <br /> <br />Mech, Fee: <br /> <br />Plumb. Fee:. <br />State <br />Surcharge: (4%) <br /> <br />Plans Chk, Fee: <br />Septic Tank <br />Permit Fee: <br /> <br />DEC Surcharge; <br /> <br />TOTAL FEE: <br />BLDG. <br />RECEIPT NO,', <br />Driveway <br />Permit Fee: __ <br />Site Plan <br />Review Fee: <br />Publlc Works <br />Receipt NO,: <br /> <br />REMARKS: <br /> <br />I have read thia application in its entirety and certify that the stated information is true and correct to the best of my knowledge, <br /> <br />SIGNATURE OF APPLICAN ...... =,,, <br /> <br /> PLEASE NOTF~Driveway and sidewalk inepection are required by Public Works: 588-5036 <br /> Other permits required by thle clapt,: Plumbing [2 Electrical tm MechanlCal [] <br /> <br /> <br />