Laserfiche WebLink
Appl. Revd~ '2uesd: ¥ <br />By: '~- <br /> <br />Date: <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> ~;e-Aator F::~[iding # 225 <br /> 220 High St., N.E. 2nd Floor <br /> Salem, O~egon §7301 <br /> R.H. WITHROW, BLDG, ADMINISTRATOR <br /> F~9-5147 - 588-514~ <br />P.M.- ........... CODE-A-Phone 588-5373 ........... 8::00 AM <br /> <br />Type of Permit: .~e$'Gaz'age ~nd L, ork shop <br /> <br /> 8914 ~>haw Sq. Rd. S.I.. ~ ,umville <br />Address:, <br /> <br />Tax Lot ~1o: <br />· Sec. Twnshp. ~ <br /> <br />Owner: Ivi. Krohn Phone: ~dg-2721 Ad~me <br /> ,, , <br />Bldr. & No.: ~m Phone: ~d~s: ' <br /> <br />Plans by: 5~e Phone; Address: <br /> <br />Rge. <br /> <br />Use ,3f Bldg.: <br /> <br />Lot No: BIk. No; Sub dy. Lot Size <br /> <br /> Water Supply: Valuation: __ <br /> Sewage Site <br /> <br /> IType of Co~s~;. <br /> <br /> ...... Comer? <br />6500.00 <br /> <br />Occupancy <br /> <br />Disposal: , Eeah Permit Fee; . 40~00 <br /> No. <br />Area of Bldg; 567 S~ ft Stories: .... State Surcharge: t.60 <br /> Roof <br />Basement: Type; Comp. 'i:r-uss Plans Chk_ Fee; ., t0.00 <br />Heating <br />System: ,. <br /> <br />wuo~o e ~ARION COUNi~- BLDG, INsPEC " <br />ZONING~ SEPTIC TANK ~ PLANS <br /> <br />I agree to bud acco~d~n~ to the ~bm/~ted pJan~ and spec/f/c~On~. ~e lew$ 'of ~e S~ate of O~egon a~d ~he OrJdnance~ of Mar]on <br />County. Petrol' ex~ires if work n~me~ithin 120 days. I furhter expr ;sly warrant that I comply with the prow~ions of <br />701.~5toZOq125becau~e,: ~ ~.~ _ ~------- <br /> <br />( ) The ~rk~w/~/~e~or~d-~[~ bui/d~r <br />( ) / am performing work on a property / own or occupy <br />( ) Other ¢pfease ~[fyj <br /> <br />SIGNATURE! have read th/soFapp//cat/onAPPLiCANT~//~/n /ts en~,'rety a~d,.~2t/fy~C/~~~ ~that ~ stated~nfor~t/~/~ true and correct to the best of my know/edge. <br /> ,EEASE NOTE;~ri'(eway and sidewal~i,~i~ a;e r;qulred:by Public Works: ~8B-50~'~ ~ ¢~ <br /> <br /> <br />