Laserfiche WebLink
~pL Recd~ <br /> <br /> EPT. OF BUILDING INSPECTION <br /> Senator Building # 225 <br /> 220 High St., N.E, 2nd Floor <br /> Salem, Oregon 97301 <br /> <br /> 58875147 - 588-5148 <br />5:00 P.M.- ........... CODE-A-Phone 588-5373 ........... 8:019 A.M, <br /> <br />Type of Permit: Smp~ System Reoaiz <br /> <br /> 15009 Second St NE Aurora <br />Address: <br /> <br />Owner: Au~mmm Cnlonv lstorlO~one: ~78-575~ <br />Society <br />8Idr. & No.: Phone: .. <br /> <br />.Tax Lot No: <br /> <br />By: F~' <br /> <br /> Sec, 19 Twnshp, 4S Rge. <br />Address:P.0. BOx 202 <br /> <br />Address: <br /> <br />Plans by: Phone; <br /> Residential I 3 <br /> <br /> Address: <br />.... i/ariance Fire Zone Tyee of Const. <br /> <br /> Min Re~, Front Sides Rea¢ <br /> Setbacks: <br /> <br />Lot No.: BIk, No,~ Sub dy. <br />Area of Bldg. 2nd Base- <br />Main Fir.:_ __ Fir.: merit: <br /> <br />Roof Type: Truss/Stick: ....... <br />Heating Wood Water <br />System: .Stove:____ Supply:. <br />Septic Tank New <br />Site Eval: Instal · <br />Exist. ' No. <br />System: ...... Gals.: <br /> <br />VALIDATIONS: <br />Zoning: Mechanical: <br />Date- . .... <br /> Date: <br />Septic Tank: <br /> ! '") 1'~ Plan~: <br />Date:, ¥/1~1 {~'*'/]~Z Date: <br /> <br />Total <br />Area:__ <br /> <br /> Lot Size ~_Q X 9 0 Corner? X <br /> <br />Valuatioh: <br />Bldg. Permit <br />Fee: ( + 5%)~ <br /> <br />Elect. Fee: <br /> <br />Mech. Fee: <br /> <br />Plumb. Fee: <br />State <br />Surcharge:. <br /> <br />Plans Chk. Fee:__ <br />Septic Tank <br />Permit Fee, ~ ~ X ~ ~ ~,,~,_0_0 <br /> <br />I agree to build according to the submitted plans and specifications, the laws of the State DEQ Surcharge:. <br />of Oregon and the Ordinances of Marion County. Permit expires if work not commenced <br />within 180 days. I further expressly warrant that I comply with the provisions of ORS TOTAL FEE; 35 . 00 <br />701.005 to 701. 125 because: <br />II a,,, per ormi,g work an a properS., I own ar occupy .ECE,PT No., t/ <br />( ) I om a registered builder OR ( ) the authorized ( ) The work will be performed by a registered builder <br /> representative of a registered builder (Z) Other (please specify) T,±ee~eed. <br /> <br />REMARKS; <br /> <br />I have read this application in /ts entirety arid certify that the stated information is true and correct to the best of my knowledge. <br /> <br /> PLEASE <br /> <br /> Other permits required by this dept: Plumbing ~ Electrical ~ <br /> <br /> <br />