Laserfiche WebLink
MARION COUNTY <br /> DEPT. OF BUILDING iNSPECTION <br /> Senator Building #225 <br />Appl Recd:: 220 High St, NE 2nd Floor Permit No <br /> <br />By 588-5147 -- 588-5145 By:: <br />Da~t§~ ~'_/ C~_,%"¢¢~' ~"¢r / 5::00 P M CODE-A-Phone ....... 800 AM. <br /> Date; <br /> <br />Type of Permit. <br /> <br />Address: ~7/0 <br />Owner ~..~-~ <br /> <br />Bldr & NO :; <br /> <br /> Wp --g~-' Zone <br /> <br />Use of 8~dg <br /> <br />Z.-/~) ~ ~ Phone:: Address, <br /> Zone Change J dart , Cond Use J Varlance/Adj FT/FO Occupancy Type of Const <br /> <br /> [ NO Bdrm8 J ~in,, Front [ Sides ] Rear <br /> or O~ Ld Setbacks <br /> <br />Area of Bldg. 2nd <br />Main Fir Fir:: <br /> <br />..Sub. dY I_otSize: Corner?__ <br />Base- Total <br />merit:: Area:: Valuation::. c~ ¢ O. c/') 0 <br /> 81dg Permit <br /> Height Fee: (+ 5%) / ~' ~ <br /> Water <br /> Supply:: <br /> <br />Root Type:: __ Truss/Stick:: <br />Heating Wood <br />System' .. Stove' <br />Septic Tank New <br />Site Eval .......... Instal.;; <br />Exist No <br />System Gels <br /> <br />VALIDATIONS:: <br />Zoning. Mechanical:: <br />Date:: ._ .Date:: <br />Septic Tank. Plans:: <br />Date:: __. .Date <br /> <br />I agree to build according to the submitted plans and specihcat~ons the laws of the <br />State of Oregon and the Ordinances of Marion County.. PERMIT EXPIRES IF WORK <br />NO T COMMENCED WI THIN 180 DA YS. I further expressly warrant that I comply with <br />the provisions of ORS 701005 tO 701 125 because.;' <br /> <br />( ) I am pedorming work On a property I own <br /> or occupy <br />( ) I am a registered builder 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 />REMARKS::_ <br /> <br />Elect.. Fee' <br /> <br />Mech Fee:: ..... <br /> <br />State <br />Surcharge (40/0) - .'E'Z..(~__ .......... <br /> <br />Plans Chk Fee:: <br />Septic <br />Permit F~.'~ <br /> <br />BLBG <br />RECEIPT NO,:: <br />Driveway <br />Permit Fee <br />Site Plan <br />Review Fee:: <br />PublJ6 Works <br />Receipt No:: ....... <br /> <br />/have read this application in its entiretyan~ertify t~a'~thestatedinformationistrueandcorrect to thebestofmyknowledge <br /> <br />SIGNATURE OF APPLICANT:: -- r~Z/~ ~~ [ <br /> PLEASE NOTE [:,rb, ewaYan' ' alk ,.spec.on are required hy F'ub.e Works:: <br />MC tS-S <br /> Other permits required by this dept.:: Plumbing [2 ElectriCaJ [] Mechanical <br />R~V 7= 85 <br /> <br /> <br />