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Receb~ed By:; B. Jenson MARION COUNTY BUILDING INSPECTION ~y Setba¢~ Requirements' <br />_~,ty ~ Sen~or Bldg.. No.. 225 <br />Zoning VaJldation City, of A~ville. ~ 220 High St~ NE ~ Front,' 20' Real,, 5 ~ <br /> <br /> salem, Oregon 9~01 [Left , ~ R~ght <br />D~te: I 0-1,~8 ~ ~ide' 5 ~ Side 5 ~ <br /> <br /> BUILDING [] <br />Property Owner:: <br /> ~mHA <br />Job Address <br /> <br />910 Lincoln Street <br />Aum~ville, Ore~on 97325 <br />Subd[visi0n:; <br /> Gildow ~ II <br /> <br /> Phone 588-5147 <br /> Code-A. Phene 4:30 PM.. - 8:00 A.M. <br /> <br />MOBILE HOME [] SEPTIC [] <br /> Phone:: <br /> 399-5751 <br /> <br />Mobile Home Park,, <br /> <br /> Range:: Zone:: <br /> RS <br /> <br />PERMIT APPLICATION <br /> <br />Section;; Township: <br />25 8S <br /> <br />Lot Width; Lot Depth; <br />~'%, 07 , 97.58 <br /> <br />Mailing Address:; <br /> <br />Site No:; CmssStre~ <br /> 10th Place <br />Property ~× ~tNo,;: meet ~C Zone' <br />90061-261 <br /> <br />Lot' Block:: <br /> 10 3 <br />Sp¢ Total # Spaces:: <br /> <br /> Map;; <br /> <br />2W <br /> <br />ICon~actorSusinesaNameand No,,;; 0989100 <br /> <br /> Amhitect/Engineer - <br /> Davi~ G. Pool <br /> <br />Phone' <br /> <br />5R.5~.~t9~ . <br />Phone;; <br /> <br />363-036.1 <br /> <br />Address:; .~ <br />11395 Liberty St. S.E. Sale~, Ore.. 302 <br />~ Address:: <br />~493 n~'~l D~iv~ ~ ~ Salem, O/~, 97302 <br /> <br /> Type of Permit:; New;; ~ Addition [] Demo:: [] Tach Use of Building:: RES ~ <br /> <br />!o~st:r~ct£o~ Alter:; [] Relocation;; [] Oct Chg,;; [] Review:; [] S'inglc: ~a~i'l~ COM [] <br /> <br /> Height of S~llding; NO,, Stories, Sq, Ft Main Floor:: <br /> 8 ' ~aves 1 1008 <br /> <br />Mobile Home <br />Width; <br /> <br />Mobile Home <br />Length; <br /> <br /># Bedrooms:; <br />3 <br /> <br /> Sq Ft, 2nd Floor;; <br /> <br /> Occupancy;: <br />Single Family <br /> <br />Sq Ft,, Garage;: 1 Other, <br /> i <br />320 <br />Occupant Load:; <br /> <br />Water Supply;; <br /> <br />C±~y <br /> $ 32,,~000.00,,. <br /> <br />PrOposed Septic Installation;: <br />Previous Site Evaluation #:: <br /> <br />Type et System;: <br />Test Holes Read~/' <br /> <br />Will call when holes ready <br /> <br />Proposed Bedrooms:: <br /> <br />Existing Septic Syatem~ <br />Existing Tank Size;; <br />Exietir'~j DrainfieJd Length <br />Typ? of System:: <br />Date Tank Pumped:; Existing Bedrooms:: <br /> <br />~her <br /> <br />OTHER PERMITS REQUIRER BY THIS DEPT.= PLUMBING, MECHANICAL, ELECTRICAL <br />MC 15-6 <br />Roy 12787 <br /> <br />Bldg Fee;; $ <br />MobiLe Home Fee;; <br />Fleet Surcharge, <br />Zoning Surcharge <br />State Surcharge .l <br />Pla~$ Check Fee: 1,~ <br />Site Evaluation Fee <br />Septic Permit Fee <br />DEQ Surcharge~ <br />Technical Review Fee <br />Reinspectlon Fee;; <br />Investigation Fee:; <br />City Fee:: _ 1 0 <br />T~TAL FEE 365.23 <br />REC T No:: <br /> <br /> <br />