Laserfiche WebLink
MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building #225 <br /> 220 High St.. N.E. 2nd Floor <br /> Salem, Oregon 9730t <br /> <br /> B88-S147 -- 688-8141 <br />$:00 P.M ....................... CODE-A-Phone ...................... 8:00 A.M, <br /> <br />Permit No.: ~g, Y/}Oa <br />By: P"*~"_' <br /> <br />· , Dat~; 10,.1,,86 <br /> <br /> AdeQuacy&elec connection <br />Typeof Permit:.,, ]4o13[].e tided ~eplacement & Seotlc _ _ ~ax cot No.: <br /> <br />Addr.s: ~920~ ~tea ~ad, ~ Aumav~le 97~2~ S~.: ~ , T~shP.:8 <br /> <br /> ..... ~ughte~ <br />Oldr. & Ne.: V~te~ [iv~ _ Phone:. Addresa: <br /> <br />Rge.: 2¥ _ <br /> <br />Lot No.: , , RIk, No.: Sub, dv.:- <br />Area of Bldg. 2nd Base- Total <br />Main Flr.: , Fir.: meat: Area: <br /> <br />Root Type~ Truss/Stlck:__---..__--Helght~ <br />Heating Wood Water <br />Syttem: , ,* , :Jfove: Supply: vel1 <br />Septic Tank New <br />Site EvaL:, , Instal.: <br />Exist. No. <br /> <br />Lot SIz e: ..~7,._T,~.~n er ? -'* <br /> <br />Valuation: .... <br />Bldg. Permit ~,~,. O0 <br />Fee:. {, 6%) 'J -'~ · <br /> <br /> ecl. Foe: w/~.~'c · 2~.00 2'~o~O <br />E <br /> <br />Mech. Foe: ., <br /> <br />System: <br /> <br />VALIDATIONS: <br />Zoning:.,, ~ Mechanical: <br />Dew..,7- ~ --~'C''~/~::='-- hate: <br /> <br />I ag~ to ~lld according to the ~ubmltted pl~and specifications, the law~ of the <br />SMte of Omgon and the Ordlnance~ of Marion County. PERMIT EXPIRES IF WORK <br />NOT COMMENCED WITHIN I~0 DA YS, I [urthe~ expressly warrant that I comp~ with <br />the p~t~na of ORS 701.~5 to 701.125 because: <br /> <br />Gals.SO0 ~allon< pet. Stayton ~optt~lumb. Fee:,, :, <br /> State <br /> Surcharge: (4%1 <br /> <br />( ) I em performing work on a property I own ( ) The work will be performed <br /> or occupy by · registered builder <br />( } I em · regtafered builder OR ( ) the ( ) Other (please spec/fy) <br /> authorized representative of · <br /> reglatered builder <br /> <br />REMARKS: P ,u~per form attached <br /> <br />Planl Chk. Fee: <br />aeptl~ Tank <br />Permit Fee: <br /> <br />DEQ Surcharge: <br /> <br />TOTAL rES: <br />BLDG, <br />RECEIPT NO.: <br />Driveway <br />Permit <br />Site <br />Review Fff: <br />Public <br />Rec~pf No.: <br /> <br />IBiGNATURE OF APPLiCANT: ~have read this application In Its tlrety end certlfy~~2t the stated Informal n is true and correct to the beat of my knowledge. <br /> PLEASE NOTE: D~riveway and sldewa~ inspection are required by Public Worka: 588-5036 <br /> Other permits required by this dept.: Plumbing 13 Electrical O Mechanical 13 <br /> <br /> <br />