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Zoning Valii~ <br /> BUILDING [] <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> , ¢~e~'at or Bldg- No. 225 <br /> ~ 220 High Street NE <br /> Selern, Oregon 97301 <br /> <br /> MOBILE HOME [] SEPTIC [] <br /> <br /> t,:,qy I) 4,-. <br /> <br /> couN'r , <br />PERMIT AP~I~ NSpECTjOAi <br /> <br />Brian Sparks <br /> <br />Situs Address; <br /> <br /> 150 Santiam Avenue <br /> <br />Use of Building: <br /> Residential <br /> <br />Mailing Address: <br /> :1.220 Monmoath #39 <br /> Independence, Or. <br /> <br />97351 <br /> <br />Width: <br /> <br />Block; ¢ Section; <br />Depth; / Area: <br /> <br />Lot; <br /> #6 <br /> <br />Site No.: <br /> <br /> Contract City: UGB: <br /> Construction Type: Occupancy: Occupant Load: <br /> <br /> '[ Left } Right ,.. J Rear; <br /> Min, Re~d, Front: Side:,~-/' Side: ~'- J ,~-'/ <br /> <br />Acres: Irreg. Lot: ne: <br /> <br />Type of Permit; <br /> <br />New; [] Addition; [] Demo: [] <br /> <br />Alter; ~J Relocation: ~ Ccc, Chg.: [] <br /> <br />Contractor; <br /> <br />Home Builder's Registration No,: <br /> <br />Phone: <br /> <br />Tach. Use of Building: <br />Review: [] <br /> <br /> Address: <br /> <br />RES [] <br /> <br />eom [] <br /> <br />Architect/Engineer: L Phone: <br /> No, Stories; <br /> <br />Height of Building: <br /> Si / <br /> <br />Mobile Home: Width; Length; <br /> <br />Proposed Septic Installation; <br /> Previous Site Evaluation #: <br /> Type of System: <br /> <br /> Test Holes Ready: <br /> Will call when holes ~eady: <br /> <br />Sq, Ft, Main Floor; <br /> \ <br /> <br />Existing Septic System: <br /> ExiSting Tank Size; <br /> Existing Drainfield Length; <br /> <br /> Address~ <br /> <br />t Sq. Ft. 2nd Floor; Sq. Ft. Garage: Other; <br />wat.rBupp.y; <br /> <br />n <br /> <br />( ~ I have mad this appllcatloi3 In its entiret~ and ce~'ify that the stated information <br /> is true and correct to the best of my Enowtedge. <br />~ I am performing work on a pmpe~y [ own or occupy, <br />) lamaregisteredbullderOR( )thee~thorizedmpmsentativeof <br /> a registered builder. <br /> ) The wor~ will be performed by a registered builder. ~ <br /> ) ~her ~ ~-. / / ...... <br />( ~ I agree to build according to ¢¢bmi~ed plane and s~cifio~J~.~he laws of ~ <br /> <br />OTHER PEB~IIS REQUiReD BY THIS PEPS: PLM~BINfi, ~[CHANICAL, ELECTRICAL <br />MO 15-6 <br />R~, 3/87 <br /> <br />Bldg, Fee: <br /> <br />Mobile Home Fee: <br />Fleet Surcharge; <br />Zoning Surcharge: <br />State Surcharge: <br />Plans Check Fee; <br />Site Evaluation Fee; <br />Septic Permit Fee'. <br />DEQ Sumharga: <br />Technical Review Fee; <br />Reinspection Fee: <br />Investigation Fee: <br />City Fee; <br /> <br />TOTAL FEE: <br /> <br />RECEIPT NO,: <br /> <br />VaJuatiom <br /> <br />$ <br /> <br /> <br />