Laserfiche WebLink
¢'Appl Recd :: MONDAY <br /> <br />By PATTY <br />Date 5-13-85 <br /> <br />Type of Permit <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING iNSPECTION <br /> Senator Buildmg #225 <br /> 220 High St,N,E 2nd Floor <br /> Salem= Oregon 97301 <br /> <br /> 588-5147 -- 588-5148 <br />5 00 P,M CODE-A-Phone 8::00 AM <br /> <br />MOBILE HOME P~.~CEMENT & ~-L~-C & AUTHOR _Tax Lot NO __ <br /> <br />Address:: 10384 WEST STAYTON RD SE AUMSVILLE_ Sec:: <br /> <br />12,, Twnshp <br /> <br /> Permit No, A' 5- 6P 7_ <br /> ELEC. # 1151 <br />8y <br /> <br /> PATTY <br />Date <br /> <br />9 <br /> .Rge, <br /> <br />2w <br /> <br />Owner:: <br /> <br />Phone::~___Address:: ~ <br /> <br />Rldr & NO,,~T'I'.ER Phone <br /> <br />Address <br /> <br />Plans by Phone __ Address <br /> <br />use of Bids NO Bdrms <br /> RESIDENCE or @CC Ld 2 <br /> <br />Min ROq ~'..~O~¢) Front Sides <br /> <br />Type of Const <br /> <br /> Rear <br /> <br />Lot NO' ,BIk NO Sub dv <br />Area of BIdg 2nd Base- Total <br />Main Fir, Fir _ ...... merit Area 14x60 <br /> <br />Roof Type::. Truss/Stick <br />Heating Wood <br />System:: __ __Stove <br />Septic Tank New <br />Site Eval Instal:: <br />Exist No <br />System:: YES Gals:: _ <br /> <br /> Height::__ <br />Water <br />Supply WELL <br /> <br />1000 gallons <br /> <br />VALIDATIONS <br /> <br />Date,~, z'¢:" >"',' ~_Oate, <br />Septic Tank I,//~'~'~ ~'~ ,.-)g) Ur,.,---- Plans <br />Date:;--,[/~' -P '-~"~Oat e: <br /> <br />.LotSize 10 AC <br /> <br />Valuation::_ <br />Bldg,, Permit <br />Fee,, (+ 5%} <br /> <br />Elect Fee <br /> <br />Meoh Fee:: <br /> <br />Plumb Fee <br />State <br />Surcharge _~.4.%) <br /> <br />Plane Chk Fee <br />Septic Tank <br />Permit Fee __ <br /> <br />__Corner? ' [~NO_____ <br /> <br />35.00 <br /> 1¢~75 <br /> <br />40,00 <br /> <br />3,00 <br /> <br />I agree to build accordmg to the submitted plans and specificatiOnS: the laws of the <br />State of Oregon and the Ordinances of MariOn County,, PERMIT EXPIRES IF WORK <br />NOT COMMENCED WITHIN 180 DA YS, f further expressly warrant that I comply with <br />the prowsions of ORS 701,005 to 701125 because' <br /> <br />( ) I am performing work on a property I own <br /> or occupy <br />( ) I am a registered builde/OR ( ) the <br /> authorized representative of a <br /> registered builder <br /> <br />( ) The work will be performed <br /> by a registered builder <br />( ) Other (please specify) <br /> <br />DEQ Surcharge;: <br /> <br />TOTAL FEE <br />BLDG <br />RECEIPT NO:: <br />Driveway <br />Permit Fee <br />Site Plan <br />Review Fee __ <br />Public Works <br />Receipt No:: <br /> <br /> 5.00 <br /> <br />1.44.75 <br /> <br />REMARKS <br /> <br />I have read this application in its entirety and certify that the stated information, is true and correct to the best of my knowledge <br />SIGNATURE OF APPL~_IOANT /~ ~-.~t .~..~ <br /> PLEAoE NOTE ~riveway and sidewalk inspection are required by Public Works 588-5036 <br /> Other permits required byth~sdept:: Plumbing D Electrical D Mechanical ID <br /> <br /> <br />