Laserfiche WebLink
City* ~ ~' <br />+-*?oning Validation <br /> <br /> '"~'~'~*" MARlON COUNTY BUILDING INSPECTION City Setbask Requirements:: <br /> <br /> I '~ Senermr Blag. NO,, 225 <br /> Front:: <br /> Rear <br /> 220 High Street NE <br /> ~lem, Ore,on 97301 Left Right <br />Date _ Phone 588-5147 Side Side <br /> Code-A-Phone 4:30 P.M.. - 8:~00 A.M <br /> <br /> BUILDING [] MOBILE HOME [] SEPTIC [] PERMIT APPLICATION <br /> <br />Property O;vner:: West, Walter P~llze_ .~0 [7~t.,~:: ~4. t)ailing ~o;,dd r, es2126:: <br /> ,, I ................. <br />'~obAddress:: 1299~ '~:;h~en RG..g ~:~ ~' ~o' 1306 CmssStree,:: <br /> <br /> A~roz-a 970(, 2 ~ ~ :'" <br /> ; ~ , Property Tax Lot No Fleet S/C Zone <br /> Subdivision Block <br /> <br />.... Section Township:: Range:; ~:~V Zone g~U Map 3 <br /> <br /> Lot Width Lot DepthS, Acres6 t Irreg Lot Corner:: <br /> <br />Contractor Business Name and NO:: Phone Address:: <br />Architect fEngineer:; Phone Address:: <br /> <br />Type of Permit New:: [] Addition:: [] Demo:: [] Tach <br />1'4H Alter L~ Relocation ~ gcc Chg,:; [] Review <br /> <br />Height of Building' <br /> <br />Mobile Home <br />Width <br /> L2 <br /> <br />NO, Stories:; Sq, Ft Main Floor <br /> <br />Mobile Home # Bedrooms:: <br />Length:; 70 2 <br /> <br />Sq Ft ~nd Floor:: <br /> <br />Occupancy:; <br /> <br />Proposed Septic Installation;: <br /> Previous Bite Evaluation #:: <br /> Type of System <br /> <br />Test Holes Ready <br />Will call when holes ready:: <br /> <br />Existing Septic Systen3:: <br />Existing. Tar~k Size:; <br /> <br />P~pposed Bedrooms;: <br /> <br />Existing Drainfield Length <br />Type of S~/stem:; <br /> <br />Date Tank Pumped:: <br /> <br />Existing Bedrooms:; 2 <br /> <br />I have read this application in its entirety and certify that the ~tated information is <br />true and correct to the best of my knowledge <br />i am a registered builder OR (. the authorized ¢ebreSen~ti¥~ at:~ ~t~ared <br />builder / ', <br /> <br />Other <br /> <br />OTHER PERMITS REQUIRED DY THIS DEPT,: PLUMBING, MECHANICAL, ELECTRICAL <br />MC 15-6 <br />ROy 12/87 <br /> <br />Use of Building RES X~ <br /> Single Fal~li,],y COM [] <br /> <br />Sq Ft Garage Other <br /> <br />Occupant Load:: Water Supply <br /> PW <br /> <br />Valuation:: <br /> <br />Bldg Fee <br /> <br />Mobile Home Fee:: <br /> <br />Fleet Surcharge:: <br /> <br />Zoning Surcharge <br /> <br />State Surcharge;; <br /> <br />Plans Check Fee:: <br /> <br />Site Evaluation Fee:: <br /> <br />Septic Permit Fee <br /> <br />DEQ Surcharge:: <br /> <br />Technical Review Fee:: <br /> <br />Reinsgectlon Fee <br /> <br />Investigation Fee:: <br /> <br />TOTAL FEE:: <br /> <br /> <br />