Laserfiche WebLink
AppL Revd; Tuesday <br />By: ~ <br /> <br />Date: ~7/7/81 <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 />R.H. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 - 588-5148 <br />5:00 P,M.- ........... CODE-A-Phone 588-5373 ........... 8:00 A.M, <br /> <br />By: ,-~ <br /> <br />Type of Permit; <br /> <br />Address; ~ <br /> <br />Owner: Ci ~ ~].e :: D.~p~arly,_~ Phone: <br /> 364-3077 <br /> <br />Bldr. & No.: s<;,me Phone: <br /> <br />9193 Shaw Scu~re- ~o~d~ ,:,. E. <br /> <br />~umsvilte 97325 Sec, <br /> Address: ]~R <br /> <br />Tax Lot No; <br /> <br /> 13 Twnshp. <br /> <br />Address; <br /> <br />8 Rge. 2I~ <br /> <br />Plans by: a~me phone: Address: <br />MAP49 Page ~%Z°ne~ Zone Chg. Part. Cond, Use Variance Fire Zone J Occupancy Type of Con~, <br /> <br />Use of Bldg,: No Bdrms, Min R~q. Front " Sides <br /> <br /> ~,.~l'~}~,e or Oc=. Ld: Setbacks: ~ ~ ~tl~)/ ~ / <br /> <br />Lot No; ,BIk, NO: Sub dy. Lot Size10 ~!~cre$ Corner? <br /> <br />Water Supply; Valuation; ~ 6 ~ 600. <br /> <br />Sewage Site <br />Disposal; Evah Permit Fee; 40.00 <br /> <br /> NO. <br />Area of Bldg: 744 sq {t o Stories: ]- State Surcharge; %.60 <br /> <br /> Roof <br />Basement: Type; com~ - ~tick Plans Chk. Fee: 20.00 <br /> <br />Heating <br />System: Septic Permit Fee: <br /> <br />BTU; <br /> <br />Total Fees: 6'~,, 60 <br /> <br />Rcpt. NO: /'~'/7 <br /> <br />VALIDATIONS: <br />ZONING~ j $1~PTIC TANK PLANS <br /> <br />B'./: /~IL~ ~ ~ ~ By'. By: <br /> <br />I ggree to build accord/hg to the submitted plgn~ and sp~JfJcatJons, the la~ of the State of Oregon and the Orldnances of Marion <br />Gounty, Permit expires ff work no~ commenced within 120 day~, I furhter expressly warrant that I comply with the provJsJons of ORS <br />701.~ to 701.125 because: <br /> <br />( ) lam~egister~builderor( ) theauthoriz~r~presentatJveofar~i~ter~builder <br />( ) The work will be performed by a r~i~ter~ builder <br />( ) I am performing work on a property I owner occupy <br />( ) Other (p/ease <br /> <br />REMARKS: <br /> <br />I have read thi~ application in its entirety and certify that the stated information i~ true and correct to the best of my know/edge. <br /> <br />SIGNATURE OF <br /> <br />APPLICANT: (/'~~ ~r ,~/~ <br />PLEASE NOTE: Driveway and sidewall< inspections arei~qmred by Public Works: <br /> Other permits required by this dept: Plumbing [] Electrical <br /> <br /> <br />