Laserfiche WebLink
City ~ ~ - ..~, Senator Bldg. No. <br />Zonin V~lidettem ~'~,", ~, ,~) 220 High Steer NE <br /> <br />'l 'Ite: <br /> <br />Right <br />Side: <br /> <br />Property Owner; <br /> <br />JOb Address: <br /> <br />Phone: [ Mailin Addr ss; <br /> ' Yrpcs Street; <br /> <br />Subdivision; <br /> <br />Site NO,; <br />P rocp~ r t Y¢~X~ <br /> <br />Fleet S/C Zone; <br /> <br /> Lot; ! Block: <br /> / <br />Mobile Home Park: Sp. #: Total 7/- Spaces: <br />R ~.,.~e ~(.? Map; <br /> <br />Section; <br /> <br />Lot Width: <br /> <br />LOt Depth: <br /> <br />Irreg.,~ <br /> <br />O~rn~r: <br /> <br />Contrfytor Susiness Name and No,; <br />ArcMtedt/Engi~eer; <br /> <br />Relo~StiOn; [] <br /> <br />Phone: Address: <br /> <br />Phone: Address: <br /> <br />of Building; <br /> <br /> r~]~_ <br /> <br />~F;~ii; -~¥v: Demo: O Teeh. <br /> <br />~.g]l~/r~' Afar; Oco. Chg.'. [] Review: L] <br /> <br /> Heighl of Building; <br /> <br /> No. Stories; Sq, Ft, Main Floor: Sq, Ft, 2nd Floor: Sq, Ft, Garage: <br /> / <br />Mobile Home Mebile Home # Bedrooms: Qccupancy: Occupant Load; <br />Width: Length: <br /> <br /> ~ES ~ '-' <br /> COM [] <br /> <br />tOther: <br /> <br /> Water Supply: <br /> <br />Proposed Septic Installation: <br />Previous Site Evaluation #; <br /> <br />Type of System; <br /> <br />Test Holes Read)/: <br />Will call when holes ready: Proposed Bedrooms: <br />Existing Septic System; <br />Exlstlh9 Tank Size', <br /> <br />,._ Existing Drainfield Lengt_h_} ......................... <br /> Type of System; <br /> <br />D~t~..Tenk Pumped: <br /> <br />Existing Bedrooms: <br /> <br /> ) I am a registered builder OR ( ) the authorized representative of a registered <br /> <br /> -~ Other 4~f-~'~~' <br /> the state of Oregon ~dn t:~lC~es of MBriofl ¢o,~lty, <br /> <br />OTHER PERMITS REQUIRED BY THI~'DEPT.: PLUMBING, MECHANICAL, ELECTI~}CAL <br /> <br />Mobile Home Fee: <br />Fleet Surcharge: . <br />Zoning Surcharge: <br /> <br />State Surcharge: <br />Plans Check Fee; ~._ ,,¢~, <br />Site Evaluation Fee: <br />Septic Permit Fee: <br />BEQ Surcharge; <br />Technical Review Fee: <br />Reinspection Fee: <br />Investigation Fee: <br />City Fee: <br />TOT^ .EB'. <br /> <br /> <br />